Boise, ID, 83756, USA
23 hours ago
Senior Revenue Cycle Analyst-Physician Underpayment
R1 RCM Inc. is a leading provider of technology-enabled revenue cycle management services which transform and solve challenges across health systems, hospitals and physician practices. Headquartered in Chicago, R1® is a publicly-traded organization with employees throughout the US and international locations. Our mission is to be the one trusted partner to manage revenue, so providers and patients can focus on what matters most. Our priority is to always do what is best for our clients, patients and each other. With our proven and scalable operating model, we complement a healthcare organization’s infrastructure, quickly driving sustainable improvements to net patient revenue and cash flows while reducing operating costs and enhancing the patient experience. As our Senior Analyst you will provide value to our client through a mix of subject matter expertise and technology enabled systematic underpayment detection logic. Analysts will gain exposure to the physician revenue cycle and play an integral part in identifying and recovering underpaid receivables for clients. Analysts will interact with insurance companies and clients. **RESPONSIBILITIES** + Provide premium service to Cloudmed's clients, including reporting, and knowledge sharing + Communicate regularly and effectively with key internal and external stakeholders and upper management + Analyze clients’ managed care contracts and government-based fee schedules to identify underpayments and make recommendations to prevent future revenue loss + Understand and articulate claim and contract details to facilitate proper billing and reimbursement + Utilize Cloudmed and client software platforms to manage account information and workflow + Continual analysis and quality control of underpayment risk areas to ensure audit accuracy + Resolve claims from commercial, government, and/or workers’ compensation insurance plans + Maintain timely and professional follow-up on open issues, both over the phone and by written appeal + Prioritize inquiries from key stakeholders, assist with project-specific tasks, and participate in generating monthly internal/external reporting + Prioritize tasks to ensure team meets monthly goals and maintains current resolution efforts on all assigned claims/projects + Collaborate with fellow team members, support proactive communication and problem solving to enable high performance of team and individuals + Coach and train junior staff and effectively delegate project tasks to provide career development opportunities **REQUIRED QUALIFICATIONS** + Healthcare experience, preferably working with Underpayments + Experience working with clients, and being client facing (this is a client facing role with Client Delivery responsibilities) + Strong analytical, organizational, and professional skills + Intermediate Excel experience For this US-based position, the base pay range is $65,342.00 - $94,799.70 per year . Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training. This job is eligible to participate in our annual bonus plan at a target of 10.00% 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.
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