Follow-up Associate II

Navient; United States; On-site; USD 24,108 - 34,495; Full time

Benefits offered by this job

Competitive benefits package

Job summary

R1 RCM Inc. is hiring a Registration Complete Insurance Verification Associate in the United States. The role focuses on minimizing financial risk by accurately verifying insurance coverage, eligibility, and authorization requirements, and documenting this information on patient accounts.

You will collaborate with clinical teams, notify payers of admissions, and obtain necessary authorizations. Success is measured through productivity scorecards and quality audits, with a base pay range of

Qualifications

• At least one year of similar patient-facing experience.
• Excellent customer service with strong oral and written communication.
• Ability to collaborate with peers and cross-functional teams.
• Ability to communicate professionally with patients and physician offices.

Responsibilities

• Initiates contact with insurance companies to verify benefits, eligibility, and authorization requirements.
• Submits and follows up on pre-certification, authorization, and retro-authorization requests.
• Obtains clinical information by collaborating with care management teams or accessing patient records.
• Completes detailed electronic documentation to ensure accurate benefit verification and clean claim processing.
• Identifies and corrects insurance plan code inaccuracies within the hospital system.
• Maintains HIPAA compliance and documents all actions clearly while communicating professionally.

Skills

Customer service

Communication

Teamwork

Cross-functional

Job description

Registration Complete Insurance Verification Associate

The Registration Complete Insurance Verification Associate is responsible for minimizing financial risk for hospitals and patients by accurately verifying insurance coverage, eligibility, authorization requirements, and plan limitations. This role ensures correct insurance information is documented on patient accounts, determines network status, and identifies resources for patients facing financial challenges. The associate collaborates with clinical teams to gather and submit necessary documentation, notifies payers of admissions, and obtains required authorizations. Success in this position is measured through weekly productivity scorecards and quality audits.

Responsibilities

• Initiates contact insurance companies (phone, fax, or web portals) to verify benefits, eligibility, and authorization requirements.
• Submits and follows up on pre-certification, authorization, and retro-authorization requests until determination is received.
• Obtains and provides clinical information by collaborating with care management teams or accessing patient medical records.
• Completes detailed electronic documentation to ensure accurate benefit verification and clean claim processing.
• Identifies and corrects inaccurate insurance plan codes within the hospital system.
• Maintains HIPAA compliance and documents all actions clearly while communicating professionally with patients, team members, and stakeholders.
• Other assigned duties and tasks.

Preferred Qualifications

• At least one (1) year of similar experience (patient-facing, Registration Complete).
• Excellent customer service skills exhibiting good oral and written communication skills.
• Ability to work with peers in a team effort and cross-functionally.
• Must be able to communicate effectively and professionally to our patients and physician offices.

For this US-based position, the base pay range is $17.50 - $25.04 per hour. Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.

Benefits: Competitive benefits package.

R1 RCM Inc. (“the Company”) is dedicated to the fundamentals of equal employment opportunity. The Company’s employment practices, including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person’s age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law. Furthermore, the Company is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories.