Denials Mitigation Lead

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 Denials Mitigation Lead, you will play a critical role in reducing claim denials and optimizing revenue cycle processes. Every day you will leverage data analytics to identify trends, perform root cause analysis, and develop strategies to mitigate denials. To thrive in this role, your expertise will guide the organization in improving financial performance and ensuring efficient claim processing.

Here’s what you will experience working as a Denials Mitigation Lead:

• Extract relevant data reports from R1B1 and other systems to perform comprehensive data analysis.

• Analyze data trends to identify patterns and underlying issues contributing to claim denials.

• Conduct thorough root cause analysis to determine the factors leading to denials.

• Summarize findings in a clear and concise manner to communicate with stakeholders and inform decision-making.

• Build and manage detailed reporting to track denial trends, resolution efforts, and overall performance metrics.

Required Skills:

• Proven experience in revenue cycle management, particularly in denial management.

• Strong analytical skills with the ability to interpret complex data sets.

• Proficiency in data analysis tools and software.

• Excellent communication and presentation skills.

• Ability to work collaboratively in a team environment.

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.

CA PRIVACY NOTICE: California resident job applicants can learn more about their privacy rights California Consent

To learn more, visit: R1RCM.com

Visit us on Facebook