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    US-PAS Support Specialist - Boise, United States - Idaho State Job Bank

    Idaho State Job Bank
    Idaho State Job Bank Boise, United States

    1 week ago

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    Description
    US-PAS Support Specialist at R1 RCM in Boise, Idaho, United States Job Description 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.

    The Appeals Support
    • Physician Advisory Services (PAS) will be responsible for thoroughly reviewing patient clinical documents, hospital billing documentation and payer denial information to assist with preparation of appropriate response to defend medical necessity and no authorization appeal services offered by the Appeals Department.
    The Appeal Support will assist in the triage, production and follow-up needed on accounts within the Appeals Department. In this role, the successful candidate will need documentation and communication skills. This person will have a high amount of interaction with clients and internal business partners. This position will be fully remote.


    Responsibilities:
    + Perform detailed review of patient medical records and payer denial information + Verify and enter all critical documentation received to prepare the appeal.


    • Adhere to established workflow based on client and payer protocols Timely follow up with clients on outstanding appeals Assess appeal requests and denial information Navigate PAS portals, ePARS, YBFU and combined use of other online tools/software and resources Perform other duties as assigned Required Qualifications:
    + Understanding of hospital billing, EOB and 835 + Excellent oral and written communication skills + Excel, Word and PowerPoint competency

    Desired Qualifications:
    + Experience with appeals production + Ability to work well independently and in a team 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. To view full details and how to apply, please login or create a Job Seeker account
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