Lead Associate (AR Follow up- Performance Management)

R1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients experience. 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, Al, intelligent automation and workflow orchestration. R1 is a place where we think boldly to create opportunities for everyone to innovate and grow. A place where we partner with purpose through transparency and inclusion. We are a global community of engineers, front-line associates, healthcare operators, and RCM experts that work together to go beyond for all those we serve. Because we know that all this adds up to something more, a place where we're all together better

R1 India is proud to be recognized amongst Top 25 Best Companies to Work For 2024, by the Great Place to Work Institute. This is our second consecutive recognition on this prestigious Best Workplaces list, building on the Top 50 recognition we achieved in 2023. Our focus on employee wellbeing and inclusion and diversity is demonstrated through prestigious recognitions with R1 India being ranked amongst Best in Healthcare, Top 100 Best Companies for Women by Avtar & Seramount, and amongst Top 10 Best Workplaces in Health & Wellness. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare work better for all by enabling efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 16,000+ strong in India with presence in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities.

Designation

Reports to (level of category)

Role Objective

Identifying revenue gain opportunity or denial prevention opportunities by reviewing the open AR claims/denied claims

Essential Duties and Responsibilities

• Denied Claim Reviews/Account level reviews
• Identifying themes/trends through data reviews
• Coordinating with requirement stakeholders on the issues/themes/trends identifies
• Publishing assigned reports/tasks
• Analysis data to identify process gaps, prepare reports and share findings for Metrics improvement.
• Identifying automation/process efficiencies
• Maintain a strong focus on identifying the root cause of denials while creating sustainable solutions to prevent future denials.
• Able to interact independently with counterparts if required
• Must operate utilizing aggressive operating metrics.
• Quality Maintenance as per the required standards
• Understanding client requests requirement and develop a solution
• Creating adhoc reports utilizing SQL/snowflake, Excel, PowerBI or R1 inhouse applications/tool

Required Skill Set

Candidate should be good in Denial Management/AR Follow up (4-8 years exp required) Ability to interact positively with team members, peer group and seniors. Good analytical skills and proficiency with MS Word, Excel and Powerpoint Good communication Skills (both written & verbal)

Qualifications

Graduate in any discipline from a recognized educational Certifications in Power BI, Excel, SQL/Snowflake would add advantage