Remote Underpayments Analyst — Revenue Cycle

R1 RCM, Inc.; Boise (ID); Remote; USD 47,000 - 72,000; Full time

Job summary

R1 RCM Inc. seeks an Underpayments Analyst to validate and review hospital accounts with potential revenue opportunity.

You will confirm claim reimbursement, identify factors impacting reimbursement, diagnose root causes of underpayments, and collaborate with support teams to resolve issues, leveraging data analysis. The role requires a Bachelor’s degree or equivalent experience, strong analytical and communication skills, and attention to detail.

Qualifications

• A Bachelor's degree or a High School diploma with 2+ years' experience in hospital billing, resolution, revenue cycle, or data analytics
• Organized and analytical self-starter with strong critical thinking skills and attention to detail
• Strong communicator – verbal and written communication to give specifics and details to document work completed
• Strong math skills with emphasis on complex equations
• Proficient with computers and technology
• Multiple 1-week onsite company-paid training in R1 office

Responsibilities

• The Validation Associate will work within the client’s Patient Accounting system, payer portals and/or websites, and will utilize R1’s proprietary software to research accounts in the work queue.
• Review opportunities created, evaluate calculation of the expected reimbursement, determine if opportunity should be pursued with payer and the action required to resolve the underpayment.
• Document the account to provide information and details to support appeal and resolution effort.
• Diagnose and understand how the underpayment occurred and what our client could have done to prevent it.
• Meet required benchmarks for production, accuracy, and efficiency.

Skills

Hospital billing

Revenue cycle

Data analytics

Education

Bachelor's degree

High School diploma with 2+ years' experience in hospital billing/revenue cycle

Tools

R1 proprietary software

Payer portals

Job description

R1 RCM Inc. seeks an Underpayments Analyst to validate and review hospital accounts with potential revenue opportunity.

You will confirm claim reimbursement, identify factors impacting reimbursement, diagnose root causes of underpayments, and collaborate with support teams to resolve issues, leveraging data analysis. The role requires a Bachelor’s degree or equivalent experience, strong analytical and communication skills, and attention to detail.