Payer Analytics & Issue Resolution Analyst II

R1-Rc; United States; Remote; USD 55,000 - 69,000; Full time

Job summary

R1 RCM Inc. is seeking an Analyst II on the Payer Accountability team to educate internal teams on payer guidelines and lead payer preparation calls. You will analyze trends, mentor junior analysts, and escalate complex claim issues to ensure payer compliance.

The role requires strong problem-solving, a deep understanding of revenue cycle operations, and ability to resolve claims effectively in a dynamic healthcare environment.

Qualifications

• Must be able to interpret payer guidelines and contract terms.
• Proven ability to analyze trends and identify root causes in AR.
• Strong communication and mentorship capabilities.

Responsibilities

• Navigate payer guidelines and contracts.
• Prepare documentation for outstanding AR resolution.
• Escalate payer issues with stakeholders as needed.
• Lead payer-facing calls and represent R1 to drive outcomes.
• Perform in-depth trend analyses for payer behavior.

Skills

Analytical thinking

Attention to detail

MS Office Suite

Communication skills

Remote work readiness

Education

High School Diploma

Tools

Microsoft Excel

Microsoft Word

Microsoft Outlook

Job description

R1 RCM Inc. is seeking an Analyst II on the Payer Accountability team to educate internal teams on payer guidelines and lead payer preparation calls. You will analyze trends, mentor junior analysts, and escalate complex claim issues to ensure payer compliance.

The role requires strong problem-solving, a deep understanding of revenue cycle operations, and ability to resolve claims effectively in a dynamic healthcare environment.