R1 RCM

Complex Denials Consultant

R1 RCM(1 month ago)

United StatesOnsiteFull TimeSenior$81,295.11 - $112,762.49Legal
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About this role

A Complex Denials Consultant at R1 provides legal expertise within the revenue cycle environment to support healthcare providers in disputes with insurance carriers. The role focuses on interpreting contracts and regulations related to denied claims and contributes to improving financial outcomes for hospitals, health systems, and medical groups. It requires a law degree and bar qualification or bar-eligible status.

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Required Skills

  • Appeals Drafting
  • Contract Review
  • Medical Billing
  • ERISA
  • Regulatory Compliance
  • Administrative Hearings
  • Payer Relations
  • Training

Qualifications

  • Law Degree
  • Bar Admission Or Bar-Eligible
R1 RCM

About R1 RCM

r1rcm.com

R1 is a leading provider of technology-driven solutions that transform the patient experience and financial performance of healthcare providers.

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