Denials & AR Manager

R1 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. 

As our Denials & AR Manager, you will be responsible for the appropriate management of the department’s accounts, inventory, and workflows as well as employee development, recruitment, client meetings and auditing for all account inventory. Every day, you will oversee the areas of inventory management, employee training and development, process and case audits, and management of the department Supervisor(s) and Leads. 

To thrive in this role, you must: 

Be an experienced people leader. 

Have experience training and coaching other team members along with identifying and recommending coaching and/or remediation plans. 

Have in-depth denials and appeals experience including working the high dollar/complex claims, inventory management experience, and experience with clients. 

Have a deep understanding of workflows. 

Here is what you will experience working in this role: 

Responsible for the direct oversight of department supervisor(s). 

Ensures staffing levels are adequate to cover current inventory and communicate inventory changes as needed. 

Responsible for ensuring that revenue targets are met. 

Ensures staff quality reviews and yearly / mid-year appraisals are completed timely. 

Captures, manages, and reports trends for delivery to client. 

Participates in monthly client meetings. 

Ensures staff meets or exceeds all performance standards and goals set by management 

Manage and audit inventory including but not limited to reconciliations, client reporting, workflow processes. 

Responsible for high dollar account closures and aged AR

Work with multiple computer systems and hospital collection systems. 

Role Details:

Directly manage 2-5 supervisors who oversee 25+ associates in Billing, Follow-up, Collections, and Denial Appeals processes

Lead and direct a staff of supervisors, leads and associates

Serve as a mentor to current team by consistently displaying the R1 values

Directly contribute to the execution of business strategies within individual teams and across the organization.

Manage and monitor individual performance metrics on a weekly basis.

Monitor, develop, and manage workflows to drive performance against KPIs and client needs.

Maintain quality audit processes across the business

Identify automation and optimization opportunities
Maintains a relationship with R1 and clients
Develop and implement recommendations and provide formal feedback on project results and team performance to management.
Ability to create detailed reports for management.
Ability to maintain confidentiality of all information under HIPPA guidelines.

Other responsibilities as assigned 

Required Qualifications:   

• Minimum 5-7 years of Revenue Cycle experience
• Minimum 3 years Leadership experience    
• Minimum 2-3 years of Denial Prevention experience
• Expert knowledge in Billing, Follow Up, and/or Denials Appeals processes 
• Strong organizational skills.
• Strong computer skills, including Microsoft Excel, Word, and PowerPoint.
• Problem-solving mindset
• Outstanding time management skills and the ability to simultaneously manage multiple tasks while remaining self-directed.

Desired Qualifications:

• Master’s degree from an accredited university
• Certified revenue cycle management experience
• Prior continuous improvement experience utilizing Lean Six Sigma tools

For this US-based position, the base pay range is $69,556.00 - $114,234.05 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 10.00%

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.

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.

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To learn more, visit: R1RCM.com

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