(Remote – U.S.)
🧾 About the Role
R1 RCM is hiring a full-time Revenue Cycle Adjustments Specialist to work remotely on denied hospital claims. This role focuses on resolving complex inpatient claim issues—especially for Blue Cross Blue Shield payors in Texas and Louisiana—by analyzing denials, submitting appeal letters, and posting adjustments in Epic and Meditech. It’s a great fit for someone experienced in denial resolution and ready to thrive in a metrics-driven environment.
✅ Position Highlights
• Pay: $18.23 – $27.14 per hour
• Schedule: Full-Time
• Location: Remote (U.S. only)
• Deadline to Apply: August 8, 2025
• Company: R1 RCM
📋 What You’ll Own
• Analyze and resolve denied hospital and inpatient claims
• Draft and submit appeals, primarily to BCBS payors
• Perform account adjustments and inflows in Epic and Meditech
• Manage both backlog and new denied claim inventory
• Conduct root cause analysis and provide resolution strategies
• Communicate directly with payors for updates and status verification
• Document updates based on payer correspondence
• Work with a mentor and collaborate with support teams to meet goals
🎯 Must-Have Traits
• High school diploma or GED
• Proven experience handling Blue Cross Blue Shield denials (TX and LA)
• Background in denied inpatient or hospital claims
• Skilled in writing appeal letters to insurance providers
• Familiarity with Epic and Meditech systems
• Detail-oriented with strong analytical skills
• Comfortable working independently in a high-volume, fast-paced setting
💻 Remote Requirements
• Reliable home office with high-speed internet
• U.S.-based
• Self-motivated and accountable in a remote work structure
💡 Why It’s a Win for Remote Job Seekers
• Specialized focus on payor-specific claims
• Clear performance goals with mentoring and growth support
• Strong team culture with up-to-date systems and tools
• Meaningful impact in the healthcare revenue cycle
✍️ Call to Action
If you know your way around denied claims, appeal strategies, and payor systems—and want to join a team driving innovation in healthcare finance—apply by August 8, 2025, and help R1 RCM streamline reimbursement from the inside out.