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.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
: Lead Associate
Reports to (level of category)
: Individual – COA(Performance Management)
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 Skill Set
Candidate should be good in Denial Management/AR Follow up (2-3 years exp required) Ability to interact positively with team members, peer group and seniors.Good analytical skills and proficiency with MS Word, Excel and PowerPoint Good communication Skills (both written & verbal)
Qualifications
Graduate in any discipline from a recognized educationalCertifications in Power BI, Excel, SQL/Snowflake would add advantageWorking in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests.Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visit: r1rcm.comVisit us on Facebook
