Idaho State Job Bank is hiring: Appeals & Denials Author in Boise

Appeals & Denials Author at R1 RCM in Boise, Idaho, United States Job Description R1 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 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 Author within Physician Advisory Services will serve as an expert on appeals and denials management and will represent clients where claims were denied requiring a clinical response. The position will involve a thorough review of patient clinical and hospital course documentation as well as payer policy and denial information. Once reviewed, the Appeals Author will prepare an appropriate written document and represent client hospitals during hearings, if needed. Required Qualifications: + Medical Doctor (MD) or Doctor of Osteopathic Medicine (DO) medical license or be a registered nurse with strong appeals experience + At least 2 years of clinical experience with inpatient care is required + Knowledge of, or experience in working with the verbal and written appeals process + Must have experience with electronic medical record systems and proficiency with MS Word + Excellent verbal and written communication skills + Understanding of DRG/coding principles + Familiar with both inpatient and outpatient care and procedures in multiple specialties + Ability to work at least 20 hours a week as scheduled: business hours preferred For this US-based position, the base pay range is $64,657.00 - $80,821.00 per year . Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training. 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 (Consent Notice.pdf) To learn more, visit: Visit us on Facebook (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. Headquartered near Salt Lake City, Utah, R1 employs over 29,000 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