Job Information
R1 RCM Credits Representative II in Salt Lake City, Utah
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 Credits Representative II, you will help the Credit Department by collecting on outstanding accounts to ensure claims have been reprocessed by payers in a timely manner, completing Medicare quarterly reports for assigned regions and acting with minimal supervision to prepare reports for presentation to management. Every day you will work in the Credit Department. The representative will work cross functionally with cash posting and follow up teams. To thrive in this role, you must have experience with reviewing and analyzing explanation of benefits/remit, claims management, and billing errors. The representative must be able to work in a high volume, fast paced work environment and meet deadlines. The representative should have experience using word processing, spreadsheet, database, internet and e-mail, and scheduling applications with demonstrated typing proficiency. The representative should have experience working effectively in time sensitive situations, multi-tasking and making prompt, responsible decisions. Lastly, the representative should have experience in a role that required strong interpersonal and problem-solving skills and should have demonstrated the ability to work independently and under pressure with minimal supervision and have excellent organizational skills.
The representative must be able to work Mountain Standard Time hours. This is a remote role.
Here is what you will experience working as a Credits Representative II:
Ordering and correcting audited claims to payers within a limited time frame
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 accounts 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 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
Required Qualifications:
- High School Diploma or GED
For 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.
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. (http://go.r1rcm.com/benefits)
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.com
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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.”