Job Description
At R1, we Unleash Talent by supporting our associates' career growth and we encourage our associates to apply to roles that can help them attain their career goals. If you think the open position, you see is right for you, we encourage you to apply! 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.
The Registration Complete Insurance Verification Associate is responsible for minimizing financial risk for hospitals and patients by accurately verifying insurance coverage, eligibility, authorization requirements, and plan limitations. This role ensures correct insurance information is documented on patient accounts, determines network status, and identifies resources for patients facing financial challenges. The associate collaborates with clinical teams to gather and submit necessary documentation, notifies payers of admissions, and obtains required authorizations. Success in this position is measured through weekly productivity scorecards and quality audits.
Here's what to expect as a Follow- up Associate II:
Initiates contact insurance companies (phone, fax, or web portals) to verify benefits, eligibility, and authorization requirements.
Submits and follows up on pre-certification, authorization, and retro-authorization requests until determination is received.
Obtains and provides clinical information by collaborating with care management teams or accessing patient medical records.
Completes detailed electronic documentation to ensure accurate benefit verification and clean claim processing.
Identifies and corrects inaccurate insurance plan codes within the hospital system.
Maintains HIPAA compliance and documents all actions clearly while communicating professionally with patients, team members, and stakeholders.
Other assigned duties and tasks.
Preferred Qualifications:
At least one (1) year of similar experience (patient-facing, Registration Complete).
Excellent customer service skills exhibiting good oral and written communication skills.
Ability to work with peers in a team effort and cross-functionally
Must be able to communicate effectively and professionally to our patients and physician offices.
The healthcare system is always evolving — and it’s up to us to use our shared expertise to find new solutions that can keep up. On our growing team you’ll find the opportunity to constantly learn, collaborate across groups and explore new paths for your career.
Our associates are given the chance to contribute, think boldly and create meaningful work that makes a difference in the communities we serve around the world. We go beyond expectations in everything we do. Not only does that drive customer success and improve patient care, but that same enthusiasm is applied to giving back to the community and taking care of our team — including offering a competitive benefits package.
R1 RCM Inc. (“the Company”) is dedicated to the fundamentals of equal employment opportunity. The Company’s employment practices , 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 dedicated to providing a workplace free from harassment based on any of the foregoing protected categories.
If you have a disability and require a reasonable accommodation to complete any part of the job application process, please contact us at 312-496-7709 for assistance.
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To learn more, visit: R1RCM.com
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