Help resolve denials and unpaid claims while driving better outcomes for patients and providers.
About R1
R1 is a global leader in technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems, and medical groups. With over 29,000 employees worldwide, we combine the expertise of a global workforce with advanced platforms in analytics, AI, and intelligent automation to deliver measurable results.
Schedule
- Full-time, remote (U.S.-based).
- Flexibility required in a high-volume, evolving healthcare environment.
Responsibilities
- Investigate and resolve denial accounts using knowledge of charge master, ICD-10 coding, CPT coding, and EDI billing.
- Interpret reimbursement information from EOBs and understand state and federal laws tied to plan benefits.
- Partner with third-party payers to resolve unpaid claims and establish medical necessity.
- Work with HIM, PAS, and Shared Services teams to gather needed information.
- Provide feedback on process gaps and keep staff updated on current trends.
- Maintain HIPAA compliance and confidentiality standards.
- Perform additional duties as assigned by supervisor.
Requirements
- Minimum 1 year of experience in healthcare revenue cycle (cash posting, billing, follow-up).
- At least 2 years of experience in insurance billing/contracts (commercial, Medicare, Medicaid).
- Strong analytical, problem-solving, and organizational skills.
- Ability to communicate effectively with staff, patients, and insurance administrators.
- Team-oriented with proven success in collaborative settings.
Pay & Benefits
- Hourly pay: $16.39 – $24.29 (based on experience, skills, and location).
- Competitive benefits package including:
- Medical, dental, vision, disability, and life insurance.
- Paid time off plus 10 paid holidays annually.
- 401(k) with employer match.
- Health savings accounts, flexible spending accounts, and employee assistance programs.
- Discounts and voluntary benefits (pet, legal, accident, etc.).
R1 is an Equal Opportunity Employer committed to diversity, equity, and inclusion. All qualified applicants will be considered without regard to race, religion, sex, gender identity, age, disability, veteran status, or any other protected status.
Happy Hunting,
~Two Chicks…