Overview

As our Recovery Department Manager, you will be responsible for the appropriate management of the department’s accounts, workloads, and processes as well as employee development, recruitment, client meetings, and auditing. Every day, you will do initial reviews, employee training and development, process and case audits, management of the department supervisor(s), and Lead Reimbursement Analysts. To thrive you must have strong leadership (managing 2-levels), communication skills, knowledge of the revenue cycle with an understanding of how to utilize a multitude of hospital patient accounting systems.

Here’s What You Can Expect

• Assist in all training required to ensure reimbursement analysts resolve, call and/or appeal a defined number of accounts as instructed by leadership.
• Ensure staff are appropriately educated on client contract language and rates as necessary to resolve denied claims.
• Ensure staff understand and can apply basic payment methodologies including but not limited to per diem, case rate, grouper, and DRG payment methodologies as needed.
• Train staff to refer to and utilize payer-provider and administrative manuals to dispute denied claims.
• Engage in and develop employee training material.
• Approve and review cases for external appeal and outpatient billing.
• Run and attend client status meetings.
• Oversee trolling department and ensure all provider systems are trolled on a weekly basis
• Monitor and ensure the department reaches financial goals on a weekly basis.
• Meet all weekly performance standards and goals set by management.
• Manage daily workloads of Recovery Department staff
• Administrative duties or projects as assigned by leadership.
• Provide daily, weekly or monthly feedback as requested by leadership
• Report facility, payer, and/or denials trends when discovered.

We are committed to promoting diversity, equity, and inclusion. We are proud to be an equal-opportunity employer. We do not discriminate based on 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 regarding public assistance, veteran status or any other characteristic protected by federal, state, or local law. We are committed to providing a workplace free of harassment.

If you need assistance or accommodation to complete any part of the job application process, please contact us at 312-496-7709 or careers@r1rcm.com for assistance.

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 312-496-7709 for assistance.