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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in hospital billing and revenue cycle management, with strong analytical skills to diagnose underpayment issues and ensure accurate reimbursement. Proficient in utilizing technology and data analytics to support resolution efforts and improve operational efficiency.
Highest-signal resume keywords
Hospital Billing ExperienceRevenue Cycle ManagementData Analytics ProficiencyCritical Thinking SkillsStrong Communication Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claim Reimbursement ValidationUnderpayment DiagnosisReimbursement Calculation EvaluationPatient Accounting System ResearchComplex Equation Proficiency
Soft Skills
Organizational SkillsAttention to DetailSelf-Starter Attitude
Tools & Technologies
R1 Proprietary SoftwarePayer Portals
Industry Keywords
Healthcare OperationsRevenue CyclePayment Resolution
About the role
Key responsibilities & impact- Validate and review hospital accounts believed to have additional revenue opportunity
- Confirm claim reimbursement and ensure no additional variables impact reimbursement
- Diagnose root causes of underpayments
- Work with support teams to resolve payment issues
- Research accounts in the client’s Patient Accounting system, payer portals/websites, and R1 proprietary software
- Review opportunities, evaluate expected reimbursement calculations, determine whether to pursue the payer, and identify required resolution actions
- Document accounts with information supporting appeals and resolution efforts
- Identify how underpayments occurred and what could have prevented them
- Meet production, accuracy, and efficiency benchmarks
Requirements
What you’ll need- Bachelor’s degree with an interest in building a career in revenue cycle, healthcare operations, or data analytics
- Candidates without a Bachelor’s degree may qualify with a high school diploma or equivalent and 2+ years of relevant experience in hospital billing, resolution, revenue cycle, or data analytics
- Organized and analytical self-starter with strong critical thinking skills and attention to detail
- Strong verbal and written communication skills
- Strong math skills with emphasis on complex equations
- Proficient with computers and technology
- Applicants must be currently authorized to work in the United States on a permanent basis
- Position is not eligible for employment-based visa sponsorship now or in the future
Benefits
Comp & perks- Annual bonus plan at a target of 5.00%
- Competitive benefits package
- 1-week onsite company-paid training in R1 office
- Opportunities to constantly learn, collaborate across groups and explore new career paths
- Reasonable accommodation for applicants with disabilities
