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As our Follow Up Associate II, you will investigate and examine denial accounts using established methods to resolve issues, specializing in Professional Medicare billing. Every day, you will apply appropriate methods and techniques as established internally to resolve applicable issues, follows through with unresolved accounts, and provide feedback to leadership.
Having strong communication skills and an analytical mindset will aide you in conducting research analysis to seek and obtain appropriate information in determining overpayments on accounts.
Having prior experience in healthcare billing, follow-up, and claims will provide you with an advantage in comprehending the department. We will teach you our industry-leading technology and a variety of medical terminology to perform at your best and feel good about what you do.
Here's What You Can Expect:
Review account information and all necessary system applications to determine the next most value-added work activity and thoroughly document all pertinent collection activity performed.
Effectively work with insurance payers via phone and electronically to resolve escalated and complex insurance processing issues and denials to facilitate payment of claims.
Route accounts to specialty/clinical departments for review when appropriate per provided routing forms. Rework accounts appropriately based on received feedback from other departments.
Identify and resolve issues in a timely manner; gather and analyze information skillfully for escalation to team leaders when issues cannot be resolved.
Contact patients/guarantors for updated insurance information as a result of eligibility or coordination of benefits denial.
Meet and maintain standard productivity and quality guidelines in a fully remote production-based environment as identified by department leader.
Present identified trending denial or system issues along with any productivity barriers to leadership.
Works independently with minimal assistance needed to resolve accounts.
Root cause analysis of identified trending issues
Complete special projects/reports to resolve high priority and aged account receivable inventory
Required Qualifications
- Medicare/Medicaid professional billing experience or payer experience
- Demonstrated excellent analytical, fact-finding, problems solving and organizational skills as well as the ability to communicate, both verbally and in writing with staff, patients, and insurance plan administrators
- Demonstrated communication skills and detail oriented
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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