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 a Complex Denials Consultant working with the Complex Claims team, you will represent healthcare providers in their claim disputes for workers compensation (WC), motor vehicle accident (MVA), third party liability (TPL), and veterans’ affairs (VA) claims. You will be responsible for interpreting and applying state-specific statutes, providing guidance on billing sequencing, and advising internal stakeholders of strategic ways to quickly and efficiently recover on denied claims. To thrive in this role, you must maintain a foundational understanding of applicable regulations regarding payment, coverage, lien filing practices, and other relevant topics.
Here’s what you will experience working as a Complex Denials Consultant:
Required Qualifications
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
R1 RCM Inc. (“the Company”)
Complex Denials Consultant (Complex Claims) • Murray, Utah, US
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