Denials & AR Operations Support I

R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industrys most advanced technology platform encompassing sophisticated analytics AI intelligent automation and workflow orchestration.

As our Denials & AR Operations Support I you will help the denials and AR department by providing high-level office support tasks including data entry document retrieval and handling incoming and outgoing correspondence. You will finalize and submit appeals to the payor on behalf of clients. Every day you will communicate with the clinical department and work within different portals to submit appeals. To thrive in this role you must have a production-based background and be experienced with insurance verification and hospital registration.

Heres what you will experience working as a Denials & AR Operations Support I:

• Be able to identify different types of hospital documentation including but not limited to UB-04s denial/approval letters EOBs Hospital account notes medical records itemized bills and Hospital appeal letters.

• Meet all weekly performance standards and goals set by management.

• Maintain an understanding of how to utilize provider system platforms and obtain necessary documentation for case files.

• Be able to read and analyze denial letters UB-04 forms account notes and remits to determine denial information.

• Utilize clinical guidance on compiling medical records.

• Identify and communicate appeal deadlines timely through knowledge of insurer timeframes.

• Utilize the appropriate shipping method for mailings depending on appeal deadline recipient and size of the item.

• Finalize all letters based on the Appeal Finalization Process & Audit Tools.

Required Skills:

• High school diploma or GED

The healthcare system is always evolving and its up to us to use our shared expertise to find new solutions that can keep up. On our growing team youll find the opportunity to constantly learn collaborate across groups and explore new paths for your career.

Our associates are given the chance to contribute think boldly and create meaningful work that makes a difference in the communities we serve around the world. We go beyond expectations in everything we do. Not only does that drive customer success and improve patient care but that same enthusiasm is applied to giving back to the community and taking care of our team including offering a competitive benefits package.

R1 RCM Inc. (the Company) is dedicated to the fundamentals of equal employment opportunity. The Companys employment practices including those regarding recruitment hiring assignment promotion compensation benefits training discipline and termination shall not be based on any persons 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 for assistance.

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