Revenue Cycle Analyst Underpayments

RCM Holdco; United States; On-site; USD 47,000 - 72,000; Full time

Benefits offered by this job

Annual bonus plan (target 5%)

Job summary

R1 RCM Inc. is seeking a Revenue Cycle Analyst to perform detailed forensic analysis of hospital claims data, identifying opportunities to improve revenue and cash flow.

You will excel in underpayment detection, revenue recovery, managed care contracting, and contract compliance while leveraging Excel and Access to drive gainsharing initiatives and physician/hospital collaboration. You will review contracts and data to uncover reimbursement gaps, pursue underpayments with payors, and support

Qualifications

• 1+ years of experience in healthcare roles (billing/coding/tech)
• 1+ years' experience in Physician Billing or Revenue Cycle
• Intermediate Excel knowledge

Responsibilities

• Review physician-managed care contracts to determine expected reimbursement.
• Analyze physician claims data to identify underpayment trends and billing errors.
• Pursue underpayments with third-party payors via correspondence, payer portals, and phone calls.
• Collaborate with medical group clients to obtain data for pursuing underpayments or correcting billing errors.
• Run reports and queries in Excel and Access

Skills

Microsoft Excel

Tools

Microsoft Excel

Microsoft Access

Job description

At R1, we're transforming how healthcare works by combining nearly two decades of revenue cycle expertise with advanced technology, including analytics, AI, intelligent automation and workflow orchestration. We pair that technology with the irreplaceable expertise of our people to help hospitals, health systems and medical groups improve financial performance, simplify administrative complexity and create better experiences for patients and providers.

All Together Better defines our culture and the way we work. We're a diverse, global team united by a shared mission to make healthcare work better for all. Across technology, operations and support functions, our people bring deep expertise, empathy and ingenuity to the work we do. Here, collaboration fuels progress, adaptability sparks innovation and every voice can help shape what's next for R1 and the future of healthcare.

R1 is a leading provider of technology-driven solutions that transform the patient experience and financial performance of healthcare providers. Headquartered in Chicago, R1is a publicly traded organization with employees throughout the US and international locations.

Our mission is to be the one trusted partner to manage revenue, so providers and patients can focus on what matters most. Our priority is to always do what is best for our clients, patients and each other. With our proven and scalable operating model, we complement a healthcare organization's infrastructure, quickly driving sustainable improvements to net patient revenue and cash flows while reducing operating costs and enhancing the patient experience.

As our Revenue Cycle Analyst, you will be responsible for performing detailed, forensic analysis of hospital claims data to identify opportunities to improve hospital revenue and cash flow through claim pursuit and improved operations. Every day you will excel in the areas of underpayment identification and revenue recovery, managed care contracting, negotiation strategy and contract compliance and the implementation of gainsharing and other physician/hospital collaboration activities. To thrive you must be a motivated self‑starter that is proficient in Microsoft Excel and be familiar with commercial and government healthcare reimbursement methodologies.

Here’s What You Can Expect

• Review physician‑managed care contracts to determine expected reimbursement.
• Analyzing physician claims data to identify contractual underpayment trends and billing errors.
• Pursuing underpayments with third‑party payors via correspondence, payer portals, and phone calls.
• Working with medical group clients to obtain necessary information or data to pursue underpayments or correct billing errors.
• Running reports and queries in Microsoft Excel and Microsoft Access

Requirements:

• 1+ years of experience working directly in healthcare (i.e., medical assistant, billing and coding, healthcare technician)
• 1+ years' experience in Physician Billing or Revenue Cycle
• Intermediate Excel knowledge

For this US-based position, the base pay range is $46,664.00 - $72,250.29 per year. Individual pay is determined by role, level, location, job‑related skills, experience, and relevant education or training.

This job is eligible to participate in our annual bonus plan at a target of 5.00%.

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.

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