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 industry’s most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration.  As our Revenue Cycle Adjustments Specialist, you will help R1 clients by analyzing claims information so that they can resolve complex accounts. Every day, you will conduct root cause analysis to draft appeal letters to resolve any insurance company medical denials and perform adjustments and closures. To thrive in this role, you must excel in a metrics-driven environment and have strong critical thinking and problem-solving capabilities. Prior experience in posting adjustments and closures, validation/inflow, and assisting with closures in Epic and Meditech. Blue Cross Blue Shield payor experience is needed to be successful. Denials or AR experience with hospital, inpatient denied claims and experience working in a production-based environment is required. You will also need experience in writing appeal letters to insurance companies. We will teach you our industry-leading technology and a variety of skill sets to help you excel in your new position. **Here’s what you will experience working as a Revenue Cycle Adjustments Specialist:** + You will have a focus on Blue Cross Blue Shield as the primary payor contact. Knowledge of Texas and Louisiana processes is required. + You will be working through document requests and validation/inflows in Epic and Meditech systems, with a backlog inventory and new inventory. + Prior experience in investigating and analyzing claims to identify denial reasons and create appeal letters to resolve any issues. You can expect to contact payers to learn the status of previously resubmitted claims, written appeals, or updates on incoming claims payments. + Utilizing strong attention to detail, you will calculate expected claim reimbursement and notate accounts with updates received via email/phone from commercial or government payers. + You can expect a team you can rely on, including a mentor who cares about your progress toward your career goals. **Required Skills:** + High School Diploma or GED + Experience with Blue Cross Blue Shield Payors in the states of Texas and Louisiana. For this US-based position, the base pay range is $18.23 - $27.14 per hour . Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training. The healthcare system is always evolving — and it’s up to us to use our shared expertise to find new solutions that can keep up. On our growing team you’ll 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. (http://go.r1rcm.com/benefits) 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. CA PRIVACY NOTICE: California resident job applicants can learn more about their privacy rights California Consent (https://f.hubspotusercontent20.net/hubfs/4941928/California%20Consent%20Notice.pdf) To learn more, visit: R1RCM.com Visit us on Facebook (https://www.facebook.com/R1RCM) 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 industry’s most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation and workflow orchestration. Headquartered near Salt Lake City, Utah, R1 employs over 29,000 people globally.