Operations Associate

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 II, you will handle all in-depth research regarding patient’s self-pay, insurance and/or bad debt balances. Every day you will, effectively explains policies and procedures and refers each account for proper resolution and provides feedback to the department where the concern originated via the CU or Host system. To thrive in this role you must, can work independently, accomplish goals, excellent customer service and communication skills, creativity, patience and flexibility.

Here’s what you will experience working as an Operations Associate II:

• You have basic knowledge of EOB’s, CPT & ICD-9&10 codes, HCFAs, UB04s, HCPCS, DRGs and authorizations/referrals.
• You will review and Interpret Patient Statements, Balance and basic knowledge of Client Contractual Terms/Agreements (as needed)
• You will obtain Supporting Documentation Regarding Patient/Client Follow-up Efforts
• You can identify Contractual & Administrative Adjustments
• You will assist & Resolve Patient Inquiries/Requests a 24-48 Hour Period
• You will understand various insurance payors processes.
• You have a working knowledge of EPIC and HIPPA.

Required Skills:

• High School diploma
• 2 years of billing experience

For this US-based position, the base pay range is $15.45 – $24.29 per hour . Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.