Work from home while helping hospitals actually get paid for the care they provide. If you’ve touched denials, billing, or follow up and like digging into “why didn’t this pay,” this Revenue Cycle Associate role is right up your alley.
About R1
R1 is a leader in technology-driven healthcare revenue management, partnering with hospitals, health systems, and medical groups across the country. They combine a global team of revenue cycle professionals with an advanced platform powered by analytics, AI, and intelligent automation. As a Revenue Cycle Associate, you’ll sit in the middle of that engine, turning denied and unpaid claims into resolved revenue while supporting better financial performance for providers.
Schedule
- Full-time, remote role within the United States
- Standard business hours, set by team and client needs
- Collaborative environment working closely with internal teams and third-party payers
What You’ll Do
- Investigate and analyze denial accounts to identify the root cause and best path to resolution
- Use knowledge of charge master, AS4, ICD-10, CPT, and EDI billing to understand why claims denied or underpaid
- Review EOBs, interpret expected reimbursement, and understand State and Federal law parameters tied to benefits
- Work closely with third-party payers to resolve unpaid claims, including proving medical necessity where required
- Partner with HIM, PAS, and other Shared Services departments to gather missing information and resolve adverse benefit determinations
- Provide feedback to appropriate staff when process errors are identified and help keep teams educated on denial trends
- Maintain and follow all HIPAA and confidentiality requirements
- Perform additional duties as assigned by your supervisor to support the overall Follow Up and revenue cycle function
What You Need
- Minimum 1 year of experience in the Healthcare Revenue Cycle (cash posting, billing, or follow up)
- At least 2 years of experience in a specified area with extensive knowledge of the health insurance industry (commercial plans, Medicare, Medicaid), health claims billing and/or third-party contracts
- Strong analytical, fact-finding, problem solving, and organizational skills
- Ability to communicate clearly, both verbally and in writing, with staff, patients, and insurance plan administrators
- Demonstrated success working in a team setting
- Comfort working in a metrics-driven environment focused on resolving unpaid claims
Benefits
- Base pay range of 16.39 to 24.29 dollars per hour, depending on experience, skills, and location
- Full-time, remote position with room to grow in healthcare revenue cycle
- Competitive benefits package from a large, established healthcare technology company
- Daily exposure to complex claims scenarios that strengthen your industry expertise
- Opportunities to collaborate across functions and explore different paths in the revenue cycle space
Denial-heavy remote roles with this level of claims exposure and growth potential do not stay open forever, especially with a national leader in revenue management.
If you’re ready to level up your revenue cycle skill set while working from home, this is a solid move.
Happy Hunting,
~Two Chicks…