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 Credits Rep II associate will be responsible for the correction, rebilling, and collection of audited patient accounts as part of the Claims Resolution and Improvement Team. Government payers require that overpayments be returned within 6 days from the date of the identified overpayment. This position is responsible for identifying overpayments and submitting corrected claims or refunds to the appropriate payer to ensure that Intermountain Healthcare meets regulation requirements.Responsibilities:
Ordering and correcting audited claims to payers within a limited time frame.
Collecting on outstanding accounts to ensure claims have been reprocessed by payers in a timely manner.
Working with facility departments or Ambulatory Coding and Reimbursement and providers to resolve coding errors.
Providing research, using bills and medical records, to validate charges.
Acting as a subject matter expert and resource to others by demonstrating an understanding of government regulations and requirements for overpaid patient account while demonstrating an understanding of charge related policies, procedures, and guidelines.
Creating daily reports to improve payment results and ensuring that corrected claims are processed by the payer within appropriate timeframes.
May complete the Medicare Quarterly report for assigned regions.
May participate in corporate audits, providing input for the development of audit objectives, scopes, and procedures.
Collaborating with team members to interpret and analyze audit results to develop corrective action plans.
Acting with minimal supervision to prepare reports for presentation to management and Intermountain leaders.
Required Qualifications:
Bachelor’s degree or equivalent experience
Three years customer service experience.
One year of experience working in the PSR / Account Resolution department in a role requiring the demonstration of proficiency with policies and procedures, and competence in a wide range of department job functions and responsibilities.
Must have business office experience on Centricity Business
Experience in a role requiring billing or collection experience within the last three years.
Experience working effectively in time sensitive situations, multi-tasking and making prompt, responsible decisions.
Experience in a role requiring strong interpersonal and problem-solving skills, and the demonstrated ability to work independently and under pressure with minimal supervision and excellent organizational skills.
One year of experience using word processing, spreadsheet, database, internet and e-mail, and scheduling applications with demonstrated typing proficiency.
Demonstrated ability to work in a high volume fast paced work environment and meet deadlines.
Demonstrated ability to embrace and manage change in a positive and supportive manner.
Demonstrated ability to communicate and problem solve issues professionally and effectively with individuals at all levels of the organization.
Demonstrated ability to think independently, evaluate situations, and take appropriate action to resolve with minimal direction.
Desired Qualifications:
Medical terminology, admitting, medical billing, or insurance verification experience.
Experience leading or coordinating the work of others.
One or more years of Medicare billing and collection experience.
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 innovate 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 including:
Comprehensive Medical, Dental, Vision & RX Coverage
Paid Time Off, Volunteer Time & Holidays
401K with Company Match
Company-Paid Life Insurance, Short-Term Disability & Long-Term Disability
Tuition Reimbursement
Parental Leave
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.To learn more, visit: R1RCM.comFor this US-based position, the base pay range is $15.00 - $28.57 per hour . Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.Learn more about Benefits (http://go.r1rcm.com/benefits) at R1Working 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 innovate 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 including:
Comprehensive Medical, Dental, Vision & RX Coverage
Paid Time Off, Volunteer Time & Holidays
401K with Company Match
Company-Paid Life Insurance, Short-Term Disability & Long-Term Disability
Tuition Reimbursement
Parental Leave
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.CA PRIVACY NOTICE: California resident job applicants can learn more about their privacy rights California Consent (https://f.hubspotusercontent20.net/hubfs/4941928/California%20Consent%20Notice.pdf)To learn more, visit: R1RCM.comVisit us on Facebook (https://www.facebook.com/R1RCM)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.Headquartered near Salt Lake City, Utah, R1 employs over 29,000 people globally and is traded on the Nasdaq stock exchange under the symbol “RCM.”