Lead Associate- AR Follow up/Performance Management

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 industrys most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation and workflow orchestration.

With over 30,000 employees globally and a robust presence in India, comprising over 17,000 employees across Delhi NCR, Hyderabad, Bangalore, and Chennai, we foster an inclusive culture where every team member feels valued and empowered. Our mission is to transform the healthcare industry by driving efficiency for healthcare systems, hospitals, and physician practices, continuously striving to make healthcare work better for everyone. 

Designation

Reports to (level of category)

Role Objective

Identifying revenue gain opportunity or denial prevention opportunities by reviewing the open AR claims/denied claims 

Essential Duties and Responsibilities

• Denied Claim Reviews/Account level reviews
• Identifying themes/trends through data reviews
• Coordinating with requirement stakeholders on the issues/themes/trends identifies
• Publishing assigned reports/tasks
• Analysis data to identify process gaps, prepare reports and share findings for Metrics improvement.
• Identifying automation/process efficiencies
• Maintain a strong focus on identifying the root cause of denials while creating sustainable solutions to prevent future denials.
• Able to interact independently with counterparts if required
• Must operate utilizing aggressive operating metrics.
• Quality Maintenance as per the required standards
• Understanding client requests requirement and develop a solution
• Creating adhoc reports utilizing SQL/snowflake, Excel, PowerBI or R1 inhouse applications/tool 

Required

1. Candidate should be good in Denial Management/AR Follow up (2-3 years exp required)
2. Ability to interact positively with team members, peer group and seniors.
3. Good analytical skills and proficiency with MS Word, Excel and Powerpoint
4. Good communication Skills (both written & verbal)

Qualifications

1. Graduate in any discipline from a recognized educational 
2. Certifications in Power BI, Excel, SQL/Snowflake would add advantage