Underpayments Recovery Analyst

R1 RCM, Inc.; United States; On-site; USD 47,000 - 72,000; Full time

Job summary

R1 RCM Inc. is seeking an Underpayments Analyst to validate and review hospital accounts with potential revenue opportunities. You will confirm claim reimbursement, identify variables affecting payment, diagnose root causes, and collaborate with support teams to resolve underpayments.

The role suits those who enjoy data work and researching payment issues. You will work with hospital billing systems, payer portals, and R1’s software to analyze accounts and meet production and accuracy targets.

Qualifications

• Bachelor’s degree or HS diploma with 2+ years’ hospital billing, resolution, revenue cycle, or data analytics.
• Organized, analytical self-starter with strong attention to detail.
• Strong written and verbal 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 an 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

Strong communication

Attention to detail

Math proficiency

Computer literacy

Training on-site

Education

Bachelor's degree

High School diploma with 2+ years relevant experience

Job description

R1 RCM Inc. is seeking an Underpayments Analyst to validate and review hospital accounts with potential revenue opportunities. You will confirm claim reimbursement, identify variables affecting payment, diagnose root causes, and collaborate with support teams to resolve underpayments.

The role suits those who enjoy data work and researching payment issues. You will work with hospital billing systems, payer portals, and R1’s software to analyze accounts and meet production and accuracy targets.