R1 RCM Inc. is a leading provider of technology-enabled revenue cycle management services which transform and solve challenges across health systems, hospitals and physician practices. Headquartered in Chicago, R1 is a publicly-traded organization with employees throughout the US and international locations.
Our mission is to be the one trusted partner to manage revenue, so providers and patients can focus on what matters most. Our priority is to always do what is best for our clients, patients and each other. With our proven and scalable operating model, we complement a healthcare organization's infrastructure, quickly driving sustainable improvements to net patient revenue and cash flows while reducing operating costs and enhancing the patient experience.
The Account Resolution Specialist will be responsible for the tracking of claims through the billing process, to identify problem areas, and to determine a course of action to resolve aging claims. This person will all policies and procedures as outlined by the company and/or governmental regulations and according to HIPAA regulations.
In this role, the successful candidate will report directly to the Senior Manager of Account Resolution.
Responsible for working correspondence on a daily basis to accurately update accounts with the provided information.
Responsible for identifying trends which impact revenue and determine best course of action to resolve outstanding accounts.
Interact with third parties representative and utilize online sites to review status and update accounts as needed to expedite the claims process.
Interact with manager and team members regarding A/R research results.
Responsible for the follow up on A/R research projects; review status of accounts, action taken, and further course of action if warranted.
Provide updates to manager with findings from A/R research and status of A/R projects.
Perform other duties as directed by manager.
Working with third party collections agencies.
Filing Probate claims to the Probate courts.
Responsible for filing appeals on denied claims timely and accurately.
Other duties as assigned
High School Diploma or equivalent required
Knowledge of insurance carrier payment policies, practices, and amounts.
Medical Billing, Insurance Billing, AR experience preferred.
Logical and efficient, with keen attention to detail.
Highly self-motivated and directed.
Ability to effectively prioritize and execute tasks while under pressure.
Excellent listening, interpersonal, written, and oral communication skills.
Knowledge of insurance carrier policies and practices.
Experience working in a team-oriented, collaborative environment.
Knowledge of applicable data privacy practices and laws.
Able to manage multiple concurrent tasks
Flexible to handle unexpected daily challenges
Very strong written and verbal communication skills
Able to type a minimum of 40 words per minute
Basic computer operating skills
Able to use a 10 key by touch.
Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests.
Our associates are given valuable opportunities to contribute, to innovative and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visit: R1RCM.com.
R1 Revenue Cycle Management