Position Overview:
R1 is seeking a Denials & AR Operations Support I to join our revenue cycle team. In this role, you will support the Denials and Accounts Receivable department by finalizing and submitting appeals to payors, ensuring timely case resolution, and processing incoming correspondence. This position requires strong organizational skills, familiarity with hospital documentation, and experience in insurance verification or hospital registration.
Key Responsibilities:
-
Identify and manage hospital documentation, including UB-04s, denial/approval letters, EOBs, medical records, and itemized bills.
-
Submit accurate, HIPAA-compliant appeals and maintain detailed documentation.
-
Collaborate with clinical staff to compile and review medical records for appeals.
-
Track insurer deadlines and ensure timely submission of appeals.
-
Update internal systems to ensure accurate case management and closure.
Required Skills & Qualifications:
-
High school diploma or GED.
-
Experience in production-based environments, hospital registration, or insurance verification preferred.
-
Strong attention to detail and ability to meet deadlines.
-
Knowledge of HIPAA compliance standards.
Benefits & Culture:
-
Competitive compensation and benefits package.
-
Opportunities for continuous learning and career growth.
-
Collaborative, inclusive, and supportive workplace culture.
-
Commitment to giving back to the community.
About R1:
R1 is a global leader in technology-driven solutions that enhance both patient experience and financial performance for healthcare providers. With advanced platforms leveraging analytics, AI, and automation, we combine industry expertise with cutting-edge innovation to transform healthcare operations.
Equal Employment Opportunity:
R1 RCM Inc. provides equal employment opportunities and a workplace free from discrimination and harassment, in compliance with federal, state, and local laws.