Operations Associate III

$35,110 - $51,563/Yr

R1 RCM - Chicago, IL

Full-time - Entry Level

Chicago, IL

10,001+ employees

Professional, Scientific, and Technical Services

About the position

As an Operations Associate III at R1 RCM, you will be responsible for conducting in-depth research related to patient self-pay, insurance, and bad debt balances. This role requires effective communication of policies and procedures, proper account resolution, and feedback provision to relevant departments. The position demands independence, goal accomplishment, and excellent customer service skills, along with creativity, patience, and flexibility.

Responsibilities

• Handle in-depth research regarding patient's self-pay, insurance, and bad debt balances.
• Effectively explain policies and procedures to patients and refer accounts for proper resolution.
• Provide feedback to the department where the concern originated via the CU or Host system.
• Review and interpret patient statements and balance, as well as understand client contractual terms and agreements as needed.
• Obtain supporting documentation regarding patient/client follow-up efforts.
• Identify contractual and administrative adjustments.
• Assist and resolve patient inquiries/requests within a 24-48 hour period.
• Understand various insurance payor processes.
• Utilize working knowledge of EPIC and HIPAA.

Requirements

• High School diploma
• 3 years of experience in a related field.

Nice-to-haves

• Basic knowledge of EOB's, CPT & ICD-9&10 codes, HCFAs, UB04s, HCPCS, DRGs, and authorizations/referrals.
• Ability to work independently and accomplish goals.

Benefits

• Competitive benefits package
• Opportunities for career growth and development
• Collaborative work environment
• Community involvement and support initiatives