Revenue Recovery Associate

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 Recovery Associate, you will help ­­improve revenue outcomes for our clients by researching underpaid Medicare Advantage claims. Every day you will research processing issues, examine denials, and confirm payment information with the payor or within client patient accounting systems to determine the appropriate discharge disposition and increases in reimbursement. To thrive in this role, you must have prior work experience in hospital billing or follow up and have no hesitation to pick up the phone as this position requires up to 70% outbound calls to insurance companies and post-acute care providers.

Here’s what you will experience working as a Revenue Recovery Associate:

• Access claim information via EHR, payor portals, and contact with post-acute care facilities

• Review medical records for Managed Care claims to verify accurate discharge status and post-acute care information; call post-acute care facilities to verify and obtain information as needed

• Accurately track workflow and project progress; prepare reports for Project Managers and Supervisors, keep Project Managers and clients informed

• Ensure payer follow-ups are completed through payment collection 

Required Skills:

• High school diploma, GED, or equivalent

• Prior experience in hospital billing and/or follow-up where you worked with a variety of payers and developed the ability to abstract information from medical records; experience with Medicare Advantage and managed care claims

• Computer proficiency including accurate typing skills and the ability to become proficient in new, proprietary software programs

• Ability to navigate Microsoft Office (Outlook, Teams, Word, Excel, PowerPoint)

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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.

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To learn more, visit: R1RCM.com

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