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Work from home correcting, rebilling, and collecting audited patient accounts
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by Chris Durst Jan. 4, 2024
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Looking for a remote job that doesn’t require weekend hours?
Explore this work from home opportunity with R1 RCM, a leading revenue cycle management company serving the healthcare industry. The Credits Representative II role involves correcting, rebilling, and collecting audited patient accounts as part of the Claims Resolution and Improvement Team. No weekend hours required!
The pay range for the position is $15.00 – $28.57 per hour, depending on skills, experience, and other relevant factors.
R1 RCM also offers a comprehensive benefits package.
Hiring in the United States, no state hiring exclusions are noted.
Here’s exactly what the company has posted about this opportunity:
Location: Remote, USA
Shift: Flexible start time 6:00AM-9:00AM, according to candidate’s time zone, 8.5 hour shift with a 30 minute lunch, Monday-Friday.
R1 is a leading provider of technology-enabled revenue cycle management services which transform and solve challenges across health systems, hospitals, and physician practices. Headquartered in Chicago, R1 is publicly traded organization with employees throughout the US and international locations.
Our mission is to be the one trusted partner to manage revenue, so providers and patients can focus on what matters most. Our priority is to always do what is best for our clients, patients, and each other. With our proven and scalable operating model, we complement a healthcare organization’s infrastructure, quickly driving sustainable improvements to net patient revenue and cash flows while reducing operating costs and enhancing the patient experience.
The Credits Representative will be responsible for the correction, rebilling, and collection of audited patient accounts as part of the Claims Resolution and Improvement Team. Government payers require that overpayments be returned within 60 days from the date of the identified overpayment. This position is responsible for identifying overpayments and submitting corrected claims or refunds to the appropriate payer to ensure that R1 meets regulation requirements.
Responsibilities:
- Collecting on outstanding accounts to ensure claims have been reprocessed by payers in a timely manner
- Working with facility departments or Ambulatory Coding and Reimbursement and providers to resolve coding errors
- Providing research, using bills and medical records, to validate charges
- Acting as a subject matter expert and resource to others by demonstrating an understanding of government regulations and requirements for overpaid patient account while demonstrating an understanding of charge related policies, procedures, and guidelines
- Creating daily reports to improve payment results and ensuring that corrected claims are processed by the payer within appropriate timeframes
- May assist in account reviews for the Medicare Quarterly report for assigned regions
- May participate in corporate audits, providing input for the development of audit objectives, scopes, and procedures
- Collaborating with team members to interpret and analyze audit results
- Acting with minimal supervision to prepare reports for presentation to management and R1 leaders
- Other duties as assigned
Required Qualifications:
- High School Diploma or GED required
- Minimum of 1 year of experience in follow up, billing, cash posting or related revenue cycle experience preferred
- Experience working effectively in time sensitive situations, multi-tasking and making prompt, responsible decisions
- Experience in a role requiring strong interpersonal and problem solving skills, and the demonstrated ability to work independently and under pressure with minimal supervision and excellent organizational skills
- One year of experience using word processing, spreadsheet, database, internet and e-mail, and scheduling applications with demonstrated typing proficiency
- Demonstrated ability to work in a high volume fast paced work environment and meet deadlines
- Demonstrated ability to embrace and manage change in a positive and supportive manner
- Demonstrated ability to communicate and problem solve issues professionally and effectively with individuals at all levels of the organization
- Demonstrated ability to think independently, evaluate situations, and take appropriate action to resolve with minimal direction
Desired Qualifications:
- Experience with reviewing and analyzing EOBs, claims management and billing errors
- Medical terminology, admitting, medical billing, or insurance verification experience
- Experience leading or coordinating the work of others
- One or more years of Medicare billing and collection experience
- 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.
For this US-based position, the base pay range is $15.00 – $28.57 per hour . Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.
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 including:
- Comprehensive Medical, Dental, Vision & RX Coverage
- Paid Time Off, Volunteer Time & Holidays
- 401K with Company Match
- Company-Paid Life Insurance, Short-Term Disability & Long-Term Disability
- Tuition Reimbursement
- Parental Leave
CLICK HERE for full details and to apply. For more jobs like this, check our Newest Jobs & Gigs page. To be the first to hear about jobs like these, like our Facebook page. Good luck as you make your work from home plans a reality!
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