Review patient accounts ensuring claims are accurate and billable.
Identify and resolve claim edits and understand billing guidelines and payer requirements.
Proactively fix claim rejection errors and resubmit claims based on payer requirements.
Initiate contact and respond to inquiries from various external sources.
Comply with all government and third-party payers regulatory mandated requirements for billing and collections.
Answer questions and assist patients in regard to billing issues as needed.
Ability to maintain confidentiality of all information under HIPPA guidelines.
Meet departmental productivity and quality standards in time frame given upon completion of training.
High School Diploma or equivalent (GED)
Ability to execute processes efficiently and maintain highest level of quality
Demonstrates ability to identify and communicate issues
Computer literacy skills, including Excel spreadsheets and Microsoft Office products
Enhanced communication and customer service skills
Ability to be self-directed, coupled with exemplary time management skills and the ability to simultaneously manage multiple tasks
Experience and working knowledge of UB-04 claim forms
Experience with billing editor systems
Understanding of the entire revenue cycle process
Knowledge of Revenue and ICD coding language
1-2 years of back end revenue cycle experience in a facility and hospital setting
Knowledge of Medicaid and Medicare billing regulations
See, read, and/or operate computers, telephones, office equipment, documents, labels, including manipulating paper requiring the ability to move fingers and hands.
Remain sitting, standing, or walking for long periods of time to perform work on a computer, telephone, or other equipment.
Frequent interactions with associates, patient care providers, patients, and visitors that require associate to verbally communicate as well as hear and understand spoken information, alarms, needs, and issues quickly and accurately, particularly during emergency situations.
Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer use and typing for documenting patient care, accessing needed information banding patients, etc.
Need to walk and assist with transporting/ambulating patients and obtaining and distributing supplies and equipment. This includes pushing/pulling gurneys and portable equipment, including heavy items (over 50 lbs.).
Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests.
Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visit:r1rcm.com
R1 RCM Inc. (“the Company”) is committed to the principles of equal employment opportunity. The Company’s practices and employment decisions, 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 committed to providing a workplace free from harassment based on any of the foregoing protected categories.
If you are an individual with 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.