Underpayments Analyst – Healthcare Revenue Cycle (Bonus Eligible)

R1 RCM, Inc.; Lorida (FL); On-site; USD 47,000 - 72,000; Full time

Benefits offered by this job

Onsite training (1 week)

Annual bonus program (target 5%)

Competitive benefits package

Job summary

R1 RCM Inc. is seeking an Underpayments Analyst to validate and review hospital accounts to identify revenue opportunities and improve reimbursement accuracy.

You will work with patient accounting systems, payer portals, and R1’s software to diagnose underpayments and support resolution with internal teams. The role requires a bachelor's degree (or high school with 2+ years' 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
• 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

Analytical thinking

Attention to detail

Strong communication

Math skills

Computer literacy

Education

Bachelor’s degree or HS diploma with 2+ years experience

Job description

R1 RCM Inc. is seeking an Underpayments Analyst to validate and review hospital accounts to identify revenue opportunities and improve reimbursement accuracy.

You will work with patient accounting systems, payer portals, and R1’s software to diagnose underpayments and support resolution with internal teams. The role requires a bachelor's degree (or high school with 2+ years' experience), strong analytical and communication skills, and attention to detail.