Help hospitals and healthcare providers resolve denials and improve financial performance with R1, a leader in revenue cycle management.
About R1
R1 is the leading provider of technology-driven solutions that transform patient experiences and the financial performance of hospitals, health systems, and medical groups. With more than 29,000 employees worldwide, R1 combines advanced analytics, AI, automation, and workflow orchestration with the expertise of revenue cycle professionals.
Schedule
- Full-time
- 100% Remote (U.S.-based)
Responsibilities
- Investigate and resolve denial accounts using knowledge of charge master, AS4, ICD-9 coding, CPT coding, and EDI billing
- Interpret reimbursement details from EOBs and apply knowledge of state and federal benefit laws
- Collaborate with third-party payers to prove medical necessity and resolve unpaid claims
- Work with HIM and PAS teams across the enterprise to resolve adverse benefit determinations
- Partner with Appeals staff (letter writers, case managers, hearing specialists) to obtain and manage case information
- Assist with administrative tasks such as phones, mail, scanning, and filing as needed
- Ensure all actions comply with HIPAA and confidentiality requirements
Qualifications
- At least 2 years of experience in health insurance, billing, or third-party contracts (Commercial, Medicare, Medicaid)
- Strong knowledge of claims billing and appeals processes
- Excellent analytical, problem-solving, and organizational skills
- Strong written and verbal communication skills with staff, patients, and insurance administrators
- Ability to thrive in a collaborative team environment
Compensation
- Pay range: $16.39 – $24.29 per hour (based on role, experience, and skills)
Benefits
- Medical, dental, and vision insurance
- 401k retirement plan
- Paid time off and holidays
- Career growth and training opportunities
- Supportive culture focused on teamwork and impact
Join a team where your expertise helps improve provider financial performance and patient care outcomes.
Happy Hunting,
~Two Chicks…