Job Description

"R1 RCM India is proud to be a Great Place To Work Certified(TM) organization. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to 'make healthcare simpler' and enable efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 14,000 strong in India with offices in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities" .

Role Objective

Follow up is the most essential part in the RCM cycle. It is usually the last step in the cycle after cash-posting. After Denial management (AR Follow up), again the cycle starts till the payment is made by the insurance company.

Essential Duties and Responsibilities

Establishes and assures compliance with departmental policies and procedures in conformance with corporate policies and procedures.


Analysis data to identify process gaps, prepare reports and share findings for Metrics improvement.


Able to interact independently with counterparts.


Project Management


Performance management


First level of escalation and able to end to end closure of highlighted issues


Work in all shifts on a rotational basis WFO only


Need to be cost efficient with regards to processes, resource utilization and overall constant cost management


Must operate utilizing aggressive operating metrics.

Qualifications

Graduate in any discipline from a recognized educational institute (Except B.Pharma, M.Pharma, Regular MBA, MCA B.Tech Freshers')


Good analytical skills and proficiency with MS Word, Excel and Powerpoint


Good communication Skills (both written & verbal)

Skill Set

Candidate should be good in Denial Management


Candidate should have knowledge of Medicare, Medicaid & ICD & CPT codes used on Denials


Ability to interact positively with team members, peer group and seniors.


Subject matter expert in AR follows up


Good knowledge of SQL/Power BI/Excel


Demonstrated ability to exceed performance targets


Ability to effectively prioritize individual and team responsibilities


Communicates well in front of groups, both large and small.


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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