Revenue Cycle Underpayments Analyst

R1 RCM, Inc.

Tallahassee (FL)

On-site

USD 47,000 - 72,000

Full time

11 days ago

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Job summary

R1 RCM, Inc. in Florida is seeking an Underpayments Analyst to validate hospital accounts and identify revenue opportunities. You will confirm claim reimbursements, review variables, and diagnose underpayments using our client systems and R1 software.

The role emphasizes data analysis, documentation, and collaboration with support teams to resolve issues. A bachelor's degree or equivalent with 2+ years in hospital billing or analytics is required, plus a 1-week onsite paid training at the R1

Qualifications

  • 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 document work completed
  • Strong math skills with emphasis on complex equations
  • Proficient with computers and technology
  • 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

Strong math skills
Organized and analytical
Strong communicator
Proficient with computers
2+ years hospital billing/analytics

Education

Bachelor’s degree or equivalent
High School diploma + 2+ years experience

Job description

R1 RCM, Inc. in Florida is seeking an Underpayments Analyst to validate hospital accounts and identify revenue opportunities. You will confirm claim reimbursements, review variables, and diagnose underpayments using our client systems and R1 software.

The role emphasizes data analysis, documentation, and collaboration with support teams to resolve issues. A bachelor's degree or equivalent with 2+ years in hospital billing or analytics is required, plus a 1-week onsite paid training at the R1

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