Follow-up Associate

Overview:

The shift for this particular role is from 8:00 in the morning to 4:30 in the afternoon on weekdays, in accordance with Central Standard Time

R1 is an established and reputable provider of technology-enabled services that address the revenue cycle management needs of healthcare providers. The company's innovative approach to solving complex challenges has made it a trusted partner to numerous clients across the United States and internationally.

Our objective is to be the singular reliable collaborator in managing revenue, empowering providers and patients to concentrate on their core functions. Our supreme priority is to work in the best interest of our clients, patients, and staff members. By employing a validated and adaptable business model, we supplement healthcare organizations' structure, generating sustainable gains in net patient revenue and cash flows, rationalizing operating expenses, and enhancing the patient experience.

The Follow Up Associate will be held responsible for investigating and analyzing accounts that have been denied. This position requires the use of established internal techniques to resolve issues attached to the accounts, and for efforts to be made in following up on unresolved accounts and providing useful feedback to the relevant staff. The position also requires the Follow Up Associate to use computer systems/programs, processes, policies, and procedures related to the assigned specialization group’s duties, and to troubleshoot any issues that arise. Furthermore, the position requires knowledge about research analysis and working with third-party payers.

Responsibilities:

• Proper understanding of the charge master, AS4, ICD-10 coding, CPT coding and EDI billing enables the thorough investigation of denied claims
• Processes the projected compensation data showcased in the Explanation of Benefits and learns about the legal restrictions applicable to the state and federal laws governing the plan benefits mentioned in the EOB
• Collaborates with insurers and third-party payers' representatives to resolve pending claims by providing evidence of the patient's medical necessity for admission to the hospital
• Aims to assist in rectifying adverse benefit determinations with the help of HIM and PAS departments across the organization
• Team up with the Appeals personnel to quickly retrieve all crucial data
• Carries out given tasks as requested by the supervisor to ensure smooth workflow
• Adopts necessary measures to maintain the security and privacy of electronic health records and to prevent unauthorized access to them

Required Qualifications:

• High School diploma
• This job opening necessitates at least two years of experience in Healthcare Revenue Cycle, with extensive knowledge of Follow Up procedures
• Familiarity with Meditech is a critical requirement for this role, as the candidate will be responsible for assisting medical staff with record-keeping and patient management using the software
• Good communication proficiencies are indispensable to reach the pinnacle of success in any field
• This position requires a knack for understanding and analyzing EOBs and contracts
• An in-depth understanding of the health insurance industry and its intricacies, specifically in areas such as commercial insurances, Medicare, Medicaid, health claims billing, and third-party contracts, is required with a minimum of two years of experience in a relevant field
• Showcased exceptional proficiency in analytical and fact-finding skills while possessing excellent problem-solving and organizational abilities, along with adept communication, both verbal and written, while interacting with employees, patients, and insurance plan representatives
• Established track record of collaborating successfully with others

pferred Qualifications:

• An ideal candidate would possess experience in dealing with in-patient hospital billing
• The position requires someone who has experience with hospital collections
• A background exhibiting sound mathematical skills in healthcare claims management is favored
• The User-Friendly Nature of Artiva

We operate within a dynamic healthcare environment, leveraging our cumulative expertise to deliver inventive solutions. Our team comprises self-starters who thrive in a culture of collaboration, learning, and the freedom to explore professional passions.

We offer our employees the unique opportunity to make meaningful contributions that positively affect the communities we serve worldwide. Our culture of excellence drives customer success and improves patient care. Additionally, we value giving back to the community and provide an attractive benefits package. For more details, please visit r1rcm.com

The base pay range for this particular role is from $14.92 to $20.21, and the overall payment is based on various factors such as job designation, level, location, expertise, experience, and academic or training qualifications.

Find Out What Makes R1 a Great Place to Work

To navigate an ever-evolving healthcare industry, we must work together and leverage our collective skill sets to develop innovative solutions. Our team's growth offers plentiful opportunities for education, growth, and exploration, as we engage in collaborative efforts and establish profession-related interests.

Our associates are integral to our mission of creating meaningful impact in communities around the world. We foster a work culture of excellence, innovation, and community service. We also value our employee's well-being and offer a comprehensive benefits package that prioritizes their needs:

• A holistic healthcare program includes coverage for medical procedures, dental check-ups, vision exams, and prescription costs
• Volunteer time off policies give employees the flexibility to take time off work or to work reduced hours in order to engage in community-based volunteer work
• An employer-sponsored retirement savings plan that includes matching contributions from the company is referred to as a 401K with company match
• The company provides insurance policies for life, short-term disability and long-term disability
• Tuition Reimbursement
• Parental Leave

R1 RCM Inc. affirms a commitment to equal employment opportunity. The Company's personnel policies dictate that no person should be discriminated against primarily on the basis of age, color, nationality, citizenship status, physical or mental disability, medical condition, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marriage status, public assistance status, veteran status, or any other classification protected by federal, state, or local law. Employees are further encouraged to report any harassment based on characteristics listed above, and such harassment will not be condoned.

If a disability is preventing you from completing the job application process, please call us at 312-496-7709 for assistance in making necessary accommodations.

Individuals applying for jobs in California are given the authority to understand the legal requirements surrounding privacy and data protection, as indicated in the CA privacy notice

R1RCM.com is where you can find out more

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