[Remote] Denials Standardization Lead Analyst

Note: The job is a remote job and is open to candidates in USA. R1 RCM is the leading provider of technology-driven solutions that enhance patient experiences and financial performance for healthcare organizations. The Performance Management Denials Analyst Standardization Lead will analyze denied claims to identify root causes and collaborate with operational teams to address issues impacting revenue cycle performance.ResponsibilitiesHelp reduce preventable claim denials by identifying clinical, coding, and process‑driven root causes that negatively impact reimbursement and overall revenue cycle performanceAnalyze denied claims to develop and write clear problem statements that define the intended objective, where the process failed, and the specific failure points driving denials that outline where to fix the problemPartner closely with operational teams to validate medical terminology, coding accuracy, and front-end revenue cycle processes contributing to denialsAssess and communicate the financial impact of denials, supporting initiatives aimed at reducing significant revenue loss and improving the bottom line for internal and external clientsSkillsMinimum 2 years of experience in revenue cycle management with a focus on denials and performance managementWorking knowledge of medical terminology related to denied claimsExperience collaborating with coding teams and stakeholders analyzing denial root causesNeed to have advance excel skills: pivot tables, data annualization, data visualizations. Example: Spread sheet of 20,000 accounts need to be sorted down to specific data set of inventory wide data sliced to a narrow focusComplex Denial experienceRecent Revenue Cycle Front End Denial experience and understanding all revenue cycle front end processesExperience identifying root causes and presenting cause and solution to managementMedical terminology in denialsThe ability to write up charting assessmentBenefitsThis job is eligible to participate in our annual bonus plan at a target of 5.00%Competitive benefits package.Company OverviewR1 RCM serves as a revenue cycle management partner for hospitals and healthcare systems regardless of the payment models. It is a sub-organization of TowerBrook Capital Partners. It was founded in 2003, and is headquartered in Chicago, Illinois, USA, with a workforce of 10001+ employees. Its website is http://www.r1rcm.com/.