Operations Associate
| Company | R1 RCM |
|---|---|
| Location | Arizona, USA |
| Salary | $16.29 – $20.36 |
| Type | Full-Time |
| Degrees | Bachelor’s |
| Experience Level | Entry Level/New Grad, Junior |
Requirements
- Bachelor’s Degree –OR- high school diploma, GED, or equivalent with recent work experience in hospital billing, revenue cycle management, healthcare claims.
- Ability to communicate effectively verbally and in writing including the ability to ask the right questions and provide detailed documentation
- Ability to apply critical thinking and problem-solving skills, make informed decisions quickly and confidently, including identifying patterns, trends, and root causes
- Computer proficiency including accurate typing skills; ability to navigate Microsoft Office products (Outlook, Teams, Word, Excel, PowerPoint)
Responsibilities
- Conduct timely and professional follow-up calls to insurance companies demonstrating knowledge of risk areas and contractual underpayment issues as well as payer policies, guidelines, and regulations to ensure compliance and maximize reimbursement
- Document all communication and actions during payer escalation calls and payer portal reviews for reference and tracking
- Analyze denial data to develop evidence-based responses for claim and appeal denials, ensuring contractual payment
- Perform continual analysis and quality control of underpayment risk areas to ensure audit accuracy
- Collaborate with cross-functional teams and stakeholders to optimize reimbursement and identify process improvement opportunities
Preferred Qualifications
-
No preferred qualifications provided.