Description

As the Reimbursement Specialist for R1's DRGV & CC service lines, your primary role will be to track and validate the solution’s financial benefit to clients. This in inclusive (when applicable to client) of performing rebill and follow-up for select payers and clients. The Reimbursement Specialist will report to the Reimbursement Manager.

Responsibilities

• Oversee the monthly invoicing for multiple clients

• Track payments and follow-up on outstanding accounts

• Identify Client rebill and follow-up trends that may impact revenue

• Generate client facing invoices (account level and summary)

• Complete quarterly historical invoicing projects

• If applicable, initiate corrected claim rebills and/or follow-up accounts into appropriate Client HIS work queues

• If applicable, rebill and follow-up on Medicare DDE accounts

• Attend and document Client HIS/EMR System Navigation Training

• Monitor Client rebill performance via bi-weekly reconciliation and escalate timely delays/non-DRG payers/removals to the Associate managing the Client account

• Manage client invoicing inquiries and work to resolve account discrepancies

• Contribute to the development of invoicing methodologies and application tool enhancements

• Develop summary guides on invoicing process for each Client

• Contribute towards achievement of DRG-V and CC service line goals
  

Required Qualifications

• 3+ years of experience in Revenue Cycle, HIM professional or hospital billing

• 2+ years of customer service experience

• Proven experience in working with multiple HIS Systems (e.g., Epic, Cerner, Meditech, STAR)

• Proven knowledge of Commercial, Government, and Managed Care insurance payers

• HIPAA compliant certification and/or the ability to renew through training

• HS diploma required, bachelor’s degree preferred

Desired Qualifications

• A strong attention to detail and organization skills

• Creative problem-solving skills

• Ability to maintain the highest levels of customer satisfaction and be service-oriented

• Demonstrated ability to lead and influence others

• Team-oriented and adaptable

• Ability to build and maintain strong relationships, generating positive client feedback on quality, value, delivery, and results

• Strong verbal and written communication skills

• Proficiency with Microsoft Office, including basic to intermediate Excel functions

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 .

R1 RCM Inc. (“the Company”) is committed to the principles of equal employment opportunity. The Company’s practices and employment decisions, including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person’s age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law. Furthermore, the Company is committed to providing a workplace free from harassment based on any of the foregoing protected categories.