Job Details

ID #45935478
State Idaho
City Boise
Full-time
Salary TBD
Source R1 RCM
Showed 2022-09-23
Date 2022-09-23
Deadline 2022-11-21
Category Et cetera
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Payor Peer-to-Peer Support Specialist

Idaho, Boise, 83701 Boise USA
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Shift Days: Monday- Friday, Shift Hours Span: 7:00AM-6:00PM CST, Occasional HolidaysR1 RCM Inc. 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 a 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 Payor Peer to Peer / Denials Management Support position will be primarily responsible for non-clinical work related to Payor Peer to Peer workflow. The objective of the Payor Peer to Peer service is to contact payors for medical discussions of a concurrent clinical denial. This position will assist in contacting the payor in a timely fashion to schedule and / or resolve Payor Peer to Peer cases and all other non-clinical duties related to the workflow and resolution of cases.Additionally, this position will have responsibility to the Denials Management program. This can involve thoroughly reviewing, packaging, and submitting required documents for a prepared appeal.In order to be successful in this role, the professional will need documentation and communication skills. Attention to detail is of paramount importance. The ability to work in multiple programs simultaneously is required. This person will be responsible for working concurrent and post bill denials in a variety of ways including but not limited to calling payors, fax, mail or courier and online portals.Responsibilities:Making initial contact to payors to coordinate Payor Peer to Peer activities

Completing follow up calls to payors in attempt to resolve Payor Peer to Peer cases

Managing workflow in a way that promotes timely and quality success for clients

Formatting appeals to be submitted to various payors

Submit appeals to various payors in accordance with specific facility protocols

Navigate PAS portal, R1 software suite and combined use of other online tools/software and resources

Adhere to established workflow based on client and payor protocols

Perform other duties as assigned

Required Qualifications:High School Diploma

Excellent oral and written communication skills

Proficiency in MS Excel & MS Word; excellent computer skills

Desired Qualifications:Bachelor’s degree preferred

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

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.To learn more, visit: R1RCM.comVisit us on Facebook (https://www.facebook.com/R1RCM)

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