Operations Associate II

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

Job summary

Join a forward-thinking company as an Operations Associate II, where you'll play a vital role in transforming patient experiences and financial performance. In this dynamic position, you'll engage in critical research related to patient billing, insurance, and debt balances. Your expertise will help resolve inquiries efficiently while ensuring compliance with industry standards. This role offers the chance to grow within a collaborative environment, where your contributions directly impact the healthcare community. If you're passionate about making a difference and thrive in a fast-paced setting, this opportunity is perfect for you.

Benefits

Competitive Benefits Package

Qualifications

• 2 years of billing experience in a healthcare setting.
• Basic knowledge of insurance processes and patient statements.

Responsibilities

• Conduct in-depth research on patient balances and insurance.
• Explain policies and procedures effectively to patients.

Skills

Customer Service Skills

Communication Skills

Billing Experience

Knowledge of EOBs

Knowledge of CPT & ICD Codes

Knowledge of EPIC

Knowledge of HIPAA

Education

High School Diploma

Tools

CU System

Host System

Job description

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 II, you will handle all in-depth research regarding patient’s self-pay, insurance and/or bad debt balances. Every day you will effectively explain policies and procedures, refer each account for proper resolution, and provide feedback to the department where the concern originated via the CU or Host system. To thrive in this role, you must be able to work independently, accomplish goals, and possess excellent customer service and communication skills, creativity, patience, and flexibility.

Here’s what you will experience working as an Operations Associate II:

• You have basic knowledge of EOB’s, CPT & ICD-9&10 codes, HCFAs, UB04s, HCPCS, DRGs, and authorizations/referrals.
• You will review and interpret Patient Statements, balance, and have basic knowledge of Client Contractual Terms/Agreements (as needed).
• You will obtain supporting documentation regarding Patient/Client follow-up efforts.
• You can identify Contractual & Administrative Adjustments.
• You will assist & resolve Patient inquiries/requests within a 24-48 hour period.
• You will understand various insurance payor processes.
• You have a working knowledge of EPIC and HIPAA.

Required Skills:

• High School diploma
• 2 years of billing experience

For this US-based position, the base pay range is $15.45 - $24.29 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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