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Clinical Appeals Coordinator - Boise, United States - Idaho State Job Bank
Description
Clinical Appeals Coordinator 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.
As our Clinical Appeals Coordinator, you will help clinical AR and Denials do workflow management, accounts referral validation and productivity monitoring so that we can deliver on the mission to drive revenue recovery.
Every day you will, evaluate, validate, and direct account assignment to clinician and clinical coders to appeal. To thrive in this role, you must be analytical, organized with strong time management skills.Essential Duties & Responsibilities:
+ Be able to identify different types of hospital documentation including, but not limited to, medical records, UB-04s, EOBs, itemized bills, hospital account notes, appeal letters, and denial/approval letters. + Utilize workflow tool to assign appropriate accounts to Clinical and Clinical Coding Appeal Authors. + Ensure that all required documentation is present in the account when referred to a Clinical or Clinical Coding Appeal Author. + Ensure that assigned accounts are prioritized based on appeal deadline, dollar amount, and client specific needs. + Conduct daily audits to ensure that all accounts are being handled in a timely manner and appeal deadlines are maintained. + Assist leadership with Clinical Department staff productivity calculations. + Assist with the organization and maintenance of the Clinical Reviewer Training Folder and ensure subscriptions for all clinical tools remain up to date. + Assist department leadership with agenda development and material preparation for meetings. + Support interdepartmental discussions to increase efficiencies in workflow. + Ensure professional and HIPAA compliant documentation practices. + Meet all weekly performance standards and goals set by management.
Required Qualifications:
+ Associates or technical degree; or one to two years related experience and/or training; or equivalent combination of education and experience. + Strong analytical, organizational and time management skills. Excellent written and verbal communication skills. For this US-based position, the base pay range is $ $20.95. 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 for assistance.
CA PRIVACY NOTICE:
California resident job applicants can learn more about their privacy rights California Consent (Consent )
To learn more, visit:
Visit us on Facebook (#TJ2022 #LI-KW1 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.
' To view full details and how to apply, please login or create a Job Seeker account
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