Easter Seals Jobs

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.

As our Director of Payer Escalations , you will help ­­ drive additional client value through payer escalations of hospital underpayments inventory. Every day you will work cross-functionally with Client Delivery, Resolution Services, and Validation teams to escalate issues to payers and clients. To thrive in this role, you must pair your data analysis and organization skills along with your deep understanding of revenue cycle operations including hospital underpayments to stand up a new function within R1.

Here’s what you will experience working as a Director of Payer Escalations :

• Design new provider escalations strategy for Hospital Underpayments Team.

• Create protocols to review data and analyze inflows across 180 clients to prepare inventory for escalation, including escalation assessment.

• Work with operations teams to gather required documentation for escalations. Compile payer and issue trend summaries that could support Client Delivery escalation.

• Communicate with insurance payers to escalate and resolve underpayment issues, either directly or by handing off inventory to Client Delivery for escalation.

• Work with the Resolution Services Group for targeted and specific follow-up on escalated cases.

• Maintain detailed records of all communications and actions taken to resolve underpayment cases within R1 tools.

• Monitor and track the status of escalated cases to ensure timely resolution.

• Provide regular updates and reports on the status of underpayment cases to senior management.

Required Skills:

• Leadership experience directing healthcare revenue cycle management teams

• Deep understanding of revenue cycle operations, insurance payer policies, and reimbursement methodologies.

• Ability to make informed decisions and solve problems relating to Hospital Underpayments, pursuit and escalation.

• Ability to use Microsoft Excel and Power BI to analyze and organize large data sets. Microsoft SMSS experience is a plus!

• Strong communication and negotiation skills with the ability to interact effectively with internal teams and hospital executives.

• Proven ability to work independently and manage multiple priorities.

For this US-based position, the base pay range is $112,151.00 - $167,640.70 per year . Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.

This job is eligible to participate in our annual bonus plan at a target of 20.00%

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. (http://go.r1rcm.com/benefits)

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 (https://f.hubspotusercontent20.net/hubfs/4941928/California%20Consent%20Notice.pdf)

To learn more, visit: R1RCM.com

Visit us on Facebook (https://www.facebook.com/R1RCM)

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.

Headquartered near Salt Lake City, Utah, R1 employs over 29,000 people globally.