R1 RCM · 17 hours ago

Revenue Cycle Analyst Underpayments

United States

Full-time

Remote

Entry, Mid Level

$44K/yr - $67K/yr

2+ years exp

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Responsibilities

The Validation Associate will work within the client’s Patient Accounting system, payer portals and/or websites, and will utilize R1’s proprietary software to research accounts in the work queue.

Review opportunities created, evaluate calculation of the expected reimbursement, determine if opportunity should be pursued with payer and the action required to resolve the underpayment.

Document the account to provide information and details to support appeal and resolution effort.

Diagnose and understand how the underpayment occurred and what our client could have done to prevent it.

Meet required benchmarks for production, accuracy, and efficiency.

Qualification

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Hospital BillingRevenue Cycle ManagementData Analytics