Operations Associate - Pacific Time Zone

R1 RCM; Hyde Park Township (IL); Remote; USD 40,000 - 80,000; Full time

Job summary

An innovative company is seeking an Operations Associate to enhance the patient experience and financial performance of healthcare providers. In this role, you will collaborate with insurance companies to resolve underpaid claims, utilizing your analytical and communication skills to meet project goals. The position offers a chance for professional growth within a supportive team environment, where your contributions will directly impact patient care and community well-being. Join a forward-thinking organization dedicated to excellence and making a difference.

Benefits

Competitive Benefits Package

Opportunities for Advancement

Flexible Work Hours

Qualifications

• Bachelor's degree or equivalent experience in healthcare claims or billing.
• Strong verbal and written communication skills for effective documentation.

Responsibilities

• Conduct follow-up calls to insurance companies regarding underpaid claims.
• Analyze denial data to create responses for claim and appeal denials.

Skills

Communication Skills

Problem-Solving Skills

Critical Thinking

Computer Proficiency

Education

Bachelor's Degree

High School Diploma or GED

Tools

Microsoft Office Suite

Job description

Operations Associate - Pacific Time Zone

Operations Associate - Pacific Time Zone

Apply locations: Remote, AZ time type: Full time posted on: Posted 2 Days Ago job requisition id: R250000004811

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, you will help recover underpaid hospital claims by working directly with healthcare insurance companies. Every day you will conduct follow-up calls and portal escalations, articulate claim and contract details, and maintain timely resolution actions with insurance payers to effectively reconcile underpaid hospital claims. To thrive in this role, you must use your communication, analysis, and problem-solving skills to meet monthly project goals and maintain current resolution efforts on all assigned projects. The position also provides performance-based evaluations with opportunities for advancement.

Please note the scheduled work hours for this position are 8 AM - 5 PM Pacific Time. Candidates based in Pacific and Mountain time zones are encouraged to apply. This position is scheduled to start on June 23, 2025.

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

• Conduct timely and professional follow-up calls to insurance companies demonstrating knowledge of risk areas and contractual underpayment issues, payer policies, guidelines, and regulations to ensure compliance and maximize reimbursement.
• Document all communication and actions during payer escalation calls and portal reviews for reference and tracking.
• Analyze denial data to develop evidence-based responses for claim and appeal denials, ensuring contractual payment.
• Perform continual analysis and quality control of underpayment risk areas to ensure audit accuracy.
• Collaborate with cross-functional teams and stakeholders to optimize reimbursement and identify process improvement opportunities.

Required Skills:

• Bachelor’s Degree or high school diploma, GED, or equivalent with recent work experience in hospital billing, revenue cycle management, healthcare claims.
• Effective verbal and written communication skills, including asking the right questions and providing detailed documentation.
• Critical thinking and problem-solving skills, ability to make informed decisions quickly, and identify patterns, trends, and root causes.
• Computer proficiency, including accurate typing skills and ability to navigate Microsoft Office products (Outlook, Teams, Word, Excel, PowerPoint).

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 opportunities to 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 equal employment opportunity. Our employment practices, including recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination, shall not be based on any protected characteristic.

If you require a reasonable accommodation during the application process, please contact us at 312-496-7709.

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

To learn more, visit: R1RCM.com

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Headquartered near Salt Lake City, Utah, R1 employs over 29,000 people globally.