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, Medicare Advantage, you will help improve revenue cycle outcomes for our clients by following up on unresolved 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, both verbally and in writing.
Here’s what you will experience working as a Follow Up Associate, Medicare Advantage:
Review account details, decide on the next best action, and document all activities.
Resolve complex insurance issues with companies via phone or online to ensure claims are paid.
Collaborate with internal teams as needed and make changes based on their feedback.
Quickly identify and solve problems, escalating to team leaders when necessary.
Maintain productivity and quality standards and participate in team meetings to discuss recurring issues.
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, specifically Medicare Advantage plans
Ability to learn new processes, make informed, complex decisions, and work both independently and as part of a team
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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