Follow Up Associate II

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 Follow Up Associate, you will help ­­improve revenue cycle outcomes for our clients by following up on unresolved commercial and Medicare HMO claims. Every day you will investigate and work to resolve denied claims by reading and interpreting EOBs and accessing claim information through hospital and payer portals. To thrive in this role, you must have experience working in a hospital revenue cycle position where you demonstrated analytical, fact-finding, problem-solving and organizational skills as well as the ability to communicate effectively, both verbally and in writing.

Here’s what you will experience working as a Follow Up Associate:

• Investigate and examine denied medical claims utilizing knowledge of medical terminology, diagnostic and procedure codes, and commercial and Medicare HMO payers.

• Read and interpret expected reimbursement information from EOBs; learn legal parameters pertaining to state and federal law

• Work closely with internal and external stakeholders to resolve unpaid claims and adverse benefit determinations; obtain all pertinent information in a timely manner

• Maintain productivity and quality standards and follow all HIPAA and confidentiality requirements

Required Skills:

• High school diploma, GED, or equivalent

• Work experience in a hospital setting where you gained knowledge of health insurance and medical claims billing

• Ability to learn new processes, make informed, complex decisions, and work both independently and as part of a team

• Computer savvy including the ability to navigate proprietary software, payer portals, and Excel spreadsheets

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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