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 Operations Associate, Coverage Detection, you help resolve open healthcare claims by verifying insurance coverage and eligibility for patients with commercial or government health insurance plans. Every day you will review open claims and research insurance coverage. To thrive in this role, you should be motivated to meet production quotas and have strong attention to detail. Prior experience in healthcare administration will be useful but is not required.
Here’s what you will experience working as an Operations Associate, Coverage Detection:
- Research patient health insurance coverage via payer portals, phone calls to insurance companies, and hospital software platforms
- Collaborate and communicate cross-functionally and with management to respond to client and stakeholder inquiries and escalate any issues
- Utilize R1, payer, and client software platforms (i.e., Epic) to manage account information and workflow
Required Skills:
- High school diploma, GED, or equivalent AND either work experience or post-secondary education in medical billing or health information
- Comfortable being on the phone (approx. 25%) and performing repetitive data review
- Team-oriented with strong interpersonal and communication skills
For this US-based position, the base pay range is $16.29 – $20.36 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
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