Operations Associate-Medicare Advantage

Operations Associate-Medicare Advantage at R1 RCM in Boise, Idaho, United States Job Description As our Medicare Advantage Associate on our Revenue Recovery team, you will leverage your experience and expertise in complex Medicare Advantage payor methodology, payment screenings and experience maneuvering through various Patient Accounting systems to deliver quality work products to Cloudmed' s clients.

Every day you will be responsible for researching underpayments as they relate to Medicare Advantage payor population. To thrive in this role, you must have a healthcare background, enjoy customer service, and be comfortable with production-based work.

Having experience in EMR's such as Cener, STAR, PowerChart, Meditech or Epic along with billing and claims experience is a plus.

RESPONSIBILITIES + Utilization of various PA systems such as Cener, STAR, PowerChart, Meditech and Epic for payment screenings and claim research + Abstract information from Medical Records of Managed Care claims for accurate discharge status information on all managed care claims + Research medical records for post-acute care, and verify of accurate discharge status information + Compile supporting documentation from follow-ups with payors and research that was conducted + Research and communicate with post-acute care agencies to verify accurate discharge status information + Compile accurate and organized reports for submission to Project Managers and Supervisors + Accurately track workflow and pipeline projects REQUIRED QUALIFICATIONS + 1-3 years of experience specific to healthcare + 1-3 years of Customer Service experience + Excel knowledge for data entry For this US-based position, the base pay range is $15.

00 - $22.64 per hour . Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.

Learn more about Benefits (at R1 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.

CA PRIVACY NOTICE : California resident job applicants can learn more about their privacy rights California Consent (Consent Notice.

pdf) To learn more, visit : Visit us on Facebook (R1 RCM is a leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems, and medical groups.

Our mission is to make healthcare simpler, so providers and patients can focus on what matters most. R1's proven and scalable operating models seamlessly 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.

Our priority is to always do what is best for our clients, patients, and each other. Headquartered near Salt Lake City, Utah, R1 employs over 27,000 people globally and is traded on the Nasdaq stock exchange under the symbol 'RCM.

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