Operations Associate, Coverage Detection

R1 RCM; United States; Remote; USD 10,000 - 60,000; Full time

Job summary

R1 RCM est à la recherche d'un Operations Associate pour le rôle de Coverage Detection. Ce poste exige de vérifier l'éligibilité médicale des patients tout en collaborant avec des parties prenantes pour résoudre les réclamations. Ce rôle, bien que négociable, nécessite des compétences en communication et une attention méticuleuse aux détails. Rejoignez une entreprise de pointe et contribuez à transformer l'expérience des patients tout en travaillant dans un environnement dynamique.

Benefits

Competitive benefits package

Qualifications

• Diplôme de niveau secondaire ou expérience dans le domaine de la facturation médicale.
• Joueur d'équipe avec de solides compétences en communication.

Responsibilities

• Vérifier la couverture et l'éligibilité des patients à l'assurance santé.
• Collaborer avec les clients et les parties prenantes pour résoudre les problèmes.

Skills

Interpersonal skills

Attention to detail

Communication

Education

High school diploma, GED, or equivalent

Tools

Epic

Job description

Operations Associate, Coverage Detection

R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry’s most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration.

As our Operations Associate, Coverage Detection, you help resolve open healthcare claims by verifying insurance coverage and eligibility for patients with commercial or government health insurance plans. Every day you will review open claims and research insurance coverage. To thrive in this role, you should be motivated to meet production quotas and have strong attention to detail. Prior experience in healthcare administration will be useful but is not required.

Here’s what you will experience working as an Operations Associate, Coverage Detection:

Research patient health insurance coverage via payer portals, phone calls to insurance companies, and hospital software platforms

Collaborate and communicate cross-functionally and with management to respond to client and stakeholder inquiries and escalate any issues

Utilize R1, payer, and client software platforms (i.e., Epic) to manage account information and workflow

Required Skills:

High school diploma, GED, or equivalent AND either work experience or post-secondary education in medical billing or health information

Comfortable being on the phone (approx. 25%) and performing repetitive data review

Team-oriented with strong interpersonal and communication skills

R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry’s most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration.

As our Operations Associate, Coverage Detection, you help resolve open healthcare claims by verifying insurance coverage and eligibility for patients with commercial or government health insurance plans. Every day you will review open claims and research insurance coverage. To thrive in this role, you should be motivated to meet production quotas and have strong attention to detail. Prior experience in healthcare administration will be useful but is not required.

Here’s what you will experience working as an Operations Associate, Coverage Detection:

• Research patient health insurance coverage via payer portals, phone calls to insurance companies, and hospital software platforms

• Collaborate and communicate cross-functionally and with management to respond to client and stakeholder inquiries and escalate any issues

• Utilize R1, payer, and client software platforms (i.e., Epic) to manage account information and workflow

Required Skills:

• High school diploma, GED, or equivalent AND either work experience or post-secondary education in medical billing or health information

• Comfortable being on the phone (approx. 25%) and performing repetitive data review

• Team-oriented with strong interpersonal and communication skills

For this US-based position, the base pay range is $16.29 - $20.36 per hour . Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.

The healthcare system is always evolving — and it’s up to us to use our shared expertise to find new solutions that can keep up. On our growing team you’ll find the opportunity to constantly learn, collaborate across groups and explore new paths for your career.

Our associates are given the chance to contribute, think boldly and create meaningful work that makes a difference in the communities we serve around the world. We go beyond expectations in everything we do. Not only does that drive customer success and improve patient care, but that same enthusiasm is applied to giving back to the community and taking care of our team — including offering a 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.

If you have a disability and require a reasonable accommodation to complete any part of the job application process, please contact us at 312-496-7709 for assistance.

CA PRIVACY NOTICE: California resident job applicants can learn more about their privacy rights California Consent

To learn more, visit: R1RCM.com

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R1 RCM Inc. is an American revenue cycle management company servicing hospitals, health systems and physician groups across the United States.

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