Revenue Cycle Analyst – Underpayments

This is a fully remote position, open to applicants in United States.

📋 Description

• Assess and verify hospital accounts that are thought to have potential for increased revenue.

• Validate claim reimbursements and ensure no additional factors affect the reimbursement process.

• Identify root causes for underpayments.

• Collaborate with support teams to address payment discrepancies.

• Investigate accounts within the client’s Patient Accounting system, payer portals/websites, and R1 proprietary software.

• Analyze opportunities, assess anticipated reimbursement calculations, decide on pursuing the payer, and specify necessary resolution actions.

• Document accounts with information that supports appeals and resolution efforts.

• Determine how underpayments occurred and what preventative measures could have been taken.

• Achieve production, accuracy, and efficiency benchmarks.

⛳️ Requirements

• Bachelor's degree with a keen interest in pursuing a career in revenue cycle, healthcare operations, or data analytics.

• Candidates lacking a Bachelor’s degree may qualify with a high school diploma or equivalent, along with 2+ years of pertinent experience in hospital billing, resolution, revenue cycle, or data analytics.

• Highly organized and analytical self-starter with excellent critical thinking abilities and meticulous attention to detail.

• Exceptional verbal and written communication skills.

• Strong mathematical skills, particularly in complex equations.

• Proficient in computer use and technology.

• Applicants must possess current authorization to work in the United States on a permanent basis.

• This position is not eligible for visa sponsorship for employment, either now or in the future.

🏝️ Benefits

• Annual bonus plan with a target of 5.00%.

• Comprehensive benefits package.

• One week of onsite, company-paid training at the R1 office.

• Opportunities for continuous learning, collaboration across teams, and exploration of new career paths.

• Reasonable accommodations available for applicants with disabilities.