Remote (Country) Full-time

R1 RCM is hiring an Accounts Receivable & Denials DRG Supervisor

About the Role

R1 RCM seeks an Accounts Receivable & Denials DRG Supervisor to lead the appropriate management of assigned accounts, team workloads, and key processes. In this role, you will supervise staff development, perform initial reviews, and approve cases for external appeal and billing.

What You'll Do

  • Assist in all training required for reimbursement analysts to resolve and appeal a defined number of accounts.
  • Review, draft, and approve complex and contractual appeals and letters to insurance companies.
  • Manage the daily workloads of the Operations Support Department staff.
  • Enlist the assistance of Provider Representatives to resolve complex claim and appeal issues.
  • Audit and review client status reports.
  • Provide daily, weekly, or monthly feedback as requested by leadership.

What We're Looking For

  • Specialized DRG experience is required.
  • A strong leadership mindset.
  • Understanding of how to utilize a multitude of hospital patient accounting systems.
  • Skilled in using MS Excel and other business reporting tools.
  • Ability to collaborate well with others by working closely within the domestic and global organization.
  • Ability to manage a large inventory and team.

Technical Stack

  • MS Excel
  • Hospital patient accounting systems
  • Business reporting tools

Team & Environment

You will manage a team and collaborate closely within the domestic and global organization.

Benefits & Compensation

  • Competitive benefits package.
  • Opportunity to constantly learn, collaborate across groups, and explore new career paths.
  • Annual bonus plan participation.
  • Compensation range: $65,342.00 - $94,799.70 per year.

Work Mode

This position is local-country within the United States.

R1 RCM is dedicated to equal employment opportunity. Our employment practices 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.

Required Skills
MS ExcelHospital Patient Accounting SystemsBusiness Reporting ToolsAccounts ReceivableDenials ManagementDRG CodingRevenue Cycle ManagementTeam LeadershipProcess ImprovementData AnalysisFinancial ReportingHealthcare Compliance
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About company
R1 RCM

Leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. Combines deep expertise of revenue cycle professionals with an advanced technology platform encompassing analytics, AI, intelligent automation, and workflow orchestration.

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Job Details
Category other
Posted 8 months ago