Initiates contact with client hospital patients via telephone using appropriate scripting to ensure the required level of benefit and pre-certification/authorization details such as demographics, insurance/coverage and clinical information are obtained.
Meets or exceeds daily production goals.
Complete appropriate electronic forms with detailed benefit and pre-certification/ authorization information to ensure a clean claim.
Identifies inaccurate plan codes and corrects in the hospital’s main frame.
Work directly with multiple insurance websites to obtain benefits and authorization validation.
Adheres to the guidelines set forth in the Health Insurance Portability and Accountability Act (HIPAA), designed to prevent or detect unauthorized disclosure of Protected Health Information (PHI).
High School Diploma or GED required
At least one (1) year of similar experience (patient-facing, patient access)
Excellent customer service skills exhibiting good oral and written communication skills
Ability to type fast and accurately
Must be able to communicate effectively and professionally to our patients and physician offices
Previous coding/billing experience
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 including:
· Comprehensive Medical, Dental, Vision & RX Coverage
· Paid Time Off, Volunteer Time & Holidays
· 401K with Company Match
· Company-Paid Life Insurance, Short-Term Disability & Long-Term Disability
· Tuition Reimbursement
· Parental Leave
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.
To learn more, visit: R1RCM.com