Job Description
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.
What You’ll Be Doing as A Part of Our Team
- Identify, analyze, and manage all issues about claims edits and rejects
- Coordinate, assign, audit, and supervise work with all India BSO teams to ensure productivity standards and goals are consistently met.
- Review and analyze top edits and rejects with BSO global team every week.
- Identify the opportunities for edits and rejects that could be reduced
- Active participation in weekly calls; top edits and rejects review call with the onshore team
- Oversee monthly reporting, weekly DNFB, monthly performance deck,
- Supervise staff including performance management, training and development, workflow planning, hiring, and disciplinary actions.
- Implement and maintain department compliance with new and existing policies and procedures.
- Ensure timely completion of month-end duties and perform other duties as assigned.
- Continually evaluate claim processing business and make suggestions for improvement.
- Knowledgeable in end-to-end revenue cycle management
Reliable and punctual in reporting for work and taking designated breaks.
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What You Should Have to Qualify
- 5+ years of background in claims edits and clearing house rejects aspects of revenue cycle management. Preference will be given if have hospital billing experience.
- 1+ years of management experience leading or supervising billers.
- Must possess strong working knowledge of CPT, ICD10, Denials, edits, rejects.
- Demonstrate ability in managing projects with multi-disciplinary teams, with exceptional relationship-building skills.
- Ability to effectively speak with providers, employees, and all levels of staff within the company.
- Practical work experience desired in client relations, implementation and support, and process planning and improvement.
- Proficient in Microsoft Office (Excel, Word, PowerPoint, Outlook).
- Strong work ethic and professional communication.
- Be organized, ahead of schedule, communicative, and accountable. In short, own your role entirely, while being open to critiques, suggestions, and new ideas.
- Strong attention to detail and keep a constant eye out for opportunities to improve efficiency.
- Be passionate about customer service. You love helping people, and you constantly strive to deliver great solutions.
- Have experience with hospital billing and Meditech software will be given preference.
- Ability to adapt to changing priorities and handle multiple tasks simultaneously.
Working 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.com
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