Revenue Cycle Analyst Underpayments

r1rcm; United States; On-site; USD 47,000 - 72,000; Full time

Benefits offered by this job

Annual bonus plan

Job summary

R1 RCM Inc. is seeking an Underpayments Analyst to validate and review hospital accounts with potential revenue opportunities. You will confirm reimbursements, diagnose underpayments, and collaborate with support teams to resolve issues.

The role rewards data-driven research and clear documentation, with a base pay and annual bonus potential. Training occurs at R1 offices across the US.

Qualifications

• Bachelor's degree or high school diploma with 2+ years in hospital billing, revenue cycle, or data analytics.
• Organized and analytical self-starter with strong critical thinking and attention to detail.
• Strong communicator with verbal and written communication to document work.
• Strong math skills with emphasis on complex equations.
• Proficient with computers and technology.
• Willingness to complete 1-week onsite training at R1 office.

Responsibilities

• Validate and review hospital accounts to confirm reimbursement opportunities.
• Research accounts in client systems and payer portals using R1 software.
• Evaluate calculated reimbursements and determine actions to resolve underpayments.
• Document accounts with details to support appeals and resolutions.
• Diagnose root causes of underpayment and prevention options.
• Meet production, accuracy, and efficiency benchmarks.

Skills

Analytical thinking

Strong math skills

Communication skills

Attention to detail

Proficient with computers

Education

Bachelor's degree

High School diploma + 2+ years experience

Tools

Proprietary software (R1)

Payer portals

Job description

As our Underpayments Analyst you have the primary role of validating and reviewing hospital accounts which are believed to have additional revenue opportunity. Every day you will confirm claim reimbursement, ensure there are no additional variables impacting reimbursement, diagnose the root cause of the underpayment and work with other support teams to achieve this purpose. To thrive in this role, you should enjoy working with data and researching payment issues.

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.

Required 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

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%

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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