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 Credit Representative you will help the Claim Resolution Department correct, collect and/or rebill patients' accounts so that they can return payments within 60 days from the date of the identified overpayment. Every day you will, collect on outstanding accounts to ensure claims have been reprocessed by payers in a timely manner. You will work with different departments and providers to resolve coding errors. Finally, you will need to create daily reports to improve payment results and ensure that corrected claims are processed by the payer within the appropriate timeframe. To thrive in this role you must, collaborate with team members to interpret and analyze audits, be independently motivated and a problem solver.
Here’s what you will experience working as a Credit Representative II:
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Acting as a subject matter expert and resources to others by demonstrating an understanding of government regulations and requirements for overpaid patients account while demonstrating an understanding of charge related policies, procedures, and guidelines.
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May assist in account reviews for the Medicare Quarterly report for assigned regions.
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May participate in corporate audits, providing input for the development of audit objective, scopes, and procedures.
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Providing research, using bills and medical records, to validate charges.
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Other assigned duties.
Required Skills:
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High School Diploma or GED required.
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Minimum of 1 year experience in Follow-up, billing, cash posting or related revenue cycle experience required.
For this US-based position, the base pay range is $15.45 - $24.29 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.
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
To learn more, visit: R1RCM.com
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