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. 

The Clinical Appeals Coordinator is responsible for coordinating the workflow of the Clinical Department and assists the leadership of the department with all administrative tasks associated with the effective management and operation of the department.

Here's what you will do in this role:

Be able to identify different types of hospital documentation including, but not limited to, medical records, UB-04s, EOBs, itemized bills, hospital account notes, appeal letters, and denial/approval letters.Utilize workflow tool to assign appropriate accounts to Clinical and Clinical Coding Appeal Authors.Ensure that all required documentation is present in the account when referred to a Clinical or Clinical Coding Appeal Author.Ensure that assigned accounts are prioritized based on appeal deadline, dollar amount, and client specific needs.Conduct daily audits to ensure that all accounts are being handled in a timely manner and appeal deadlines are maintained.Assist leadership with Clinical Department staff productivity calculations.Assist with the organization and maintenance of the Clinical Reviewer Training Folder and ensure subscriptions for all clinical tools remain up to date.Assist department leadership with agenda development and material preparation for meetings.Support interdepartmental discussions to increase efficiencies in workflow.Ensure professional and HIPAA compliant documentation practices.Meet all weekly performance standards and goals set by management.

Required Qualifications:

Associates or technical degree; or one to two years related experience and/or training; or equivalent combination of education and experience.Strong analytical, organizational and time management skills.For this US-based position, the base pay range is $15.35 - $22.48 per hour . 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.

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To learn more, visit: R1RCM.com

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