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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 Denials and AR Senior Analyst, you will help R1 by managing assigned accounts or clients. Every day, you will be involved in doing initial reviews, calling insurance companies to resolve authorization and claim denials, writing appeals and letters to insurance companies to resolve denials, and following up on appeals to the point of exhaustion or payment.

To thrive in this role, you must have Denials or AR experience in Hospital or Physician claims, and experience working in a production-based environment is required. We will teach you our industry-leading technology and a variety of skill sets to help you excel in your new position. You will also need experience in writing appeal letters to insurance companies.

Here’s what you will experience working as a Denials & AR Senior Analyst:

+ Contact insurance companies to resolve authorization, eligibility, coding, and other issues that cause denials

+ Prepare and submit appeals and supporting documentation to overturn denials using provider manual and or contractual information as available

+ Monitor and track the status of appeals and follow up as needed

+ Identify trends and patterns of denials and recommend solutions to prevent future denials. Act as a subject matter expert in denials management.

+ Perform account analysis and reconciliation to ensure accurate balances and payments

+ Communicate with clients, patients, and internal departments to resolve billing and collection issues

+ Report on the performance and outcomes of denials, appeals, and collections activities.

Required Skills:

+ High School Diploma or GED

+ Current or previous experience with the Denials & AR level one and two responsibilities at R1, including the R1 process of reviewing and analyzing claim denials and rejections from insurance companies.

For this US-based position, the base pay range is $17.39 - $25.51 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. (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

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R1 is the leader in healthcare revenue management, helping providers achieve new levels of performance through smart orchestration. A pioneer in the industry, R1 created the first Healthcare Revenue Operating System: a modular, intelligent platform that integrates automation, AI, and human expertise to strengthen the entire revenue cycle. With more than 20 years of experience, R1 partners with 1,000 providers, including 95 of the top 100 U.S. health systems, and handles over 270 million payer transactions annually. This scale provides unmatched operational insight to help healthcare organizations unlock greater long-term value. To learn more, visit: https://www.r1rcm.com .