Revenue Cycle Analyst-Workers Comp

$40,306 - $63,822/Yr

R1 RCM - Salt Lake City, UT

Full-time - Entry Level

Salt Lake City, UT

10,001+ employees

Professional, Scientific, and Technical Services

About the position

As a Revenue Cycle Analyst for Workers' Comp at R1 RCM, you will play a crucial role in managing the workers' compensation receivables for our hospital clients. This position involves a comprehensive approach to billing and collections, ensuring that our clients receive the payments they are entitled to for the care they provide. You will be responsible for overseeing the entire process from billing to final collection, which includes identifying and recovering underpayments through retrospective analysis. Your daily tasks will involve direct interaction with workers' compensation insurance companies, where you will review and research denials and underpayments, file appeals, and resolve payment disputes. Additionally, you will be involved in both internal and external reporting, contributing to the overall efficiency and effectiveness of our operations team. In this role, you will need to maintain a high level of client service while working towards achieving monthly goals. Effective communication is key, as you will need to articulate billing, fee schedule, and contract details to various stakeholders to facilitate proper reimbursement. You will also be expected to closely examine contract language and provide feedback to data modeling efforts to ensure accurate pricing. Your analytical skills will be put to the test as you support algorithm research and development aimed at processing hospital data to recover revenue for our clients. Regular communication with key stakeholders and upper management will be essential to keep everyone informed and aligned on project outcomes. R1 RCM values flexibility, and while this position allows for flexible working arrangements, you may be required to visit R1 offices periodically. There is also potential for direct client interaction and modest travel, which will enhance your experience and professional growth within the company.

Responsibilities

• Resolve hospital bills with workers' compensation insurance plans
• Maintain timely and professional follow-up on open disputes, both over the phone and by written appeal
• Understand and articulate billing, fee schedule, and contract details to interested parties to facilitate proper reimbursement
• Address and respond to denials from insurance companies to ensure accurate payment of submitted bills
• Deliver premium client value through effective verbal and written communication; identify client (healthcare provider) needs, perform reviews, provide recommendations, and communicate project results
• Closely examine contract language (and/or fee schedule information) and provide feedback to data modeling to facilitate proper pricing using our software platforms
• Support algorithm research, development, and maintenance for the purpose of processing hospital data to recover revenue for clients
• Communicate regularly and effectively with key stakeholders and upper management
• Utilize R1 and client software platforms to manage account information and workflow
• Follow R1's privacy, security, and compliance policies, including adherence to HIPAA guidelines

Requirements

• 1+ years of experience working with data: running Excel reports, status reports, etc...
• Intermediate level Excel or above (pivot tables, sorting, formulas, etc...)
• Ability to manage and organize large amounts of data
• Exceed at working independently within a team environment
• Strong analytical and quantitative skills

Benefits

• Competitive benefits package
• Opportunities for professional growth and development
• Flexible working arrangements
• Community involvement and support initiatives