Accounts Receivable & Denials DRG Supervisor

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.  

As our Accounts Receivable & Denials DRG Supervisor, you will be responsible for the appropriate management of assigned accounts, workloads, and processes as well as employee development. Every day, you will do initial reviews and approve and review cases for external appeal and inpatient/outpatient billing.  To thrive in this role, you must have a strong leadership mindset with an understanding of how to utilize a multitude of hospital patient accounting systems and be skilled in using MS Excel and other business reporting tools. Successful applicants will be specialists in DRGs, while managing a large inventory and team. This person will collaborate well with others through working closely within the domestic and global organization.

Here’s what you can expect working as our Accounts Receivable & Denials DRG Supervisor:

• Assist in all training required to ensure reimbursement analysts resolve, call and/or appeal a defined number of accounts.

• Review, draft and/or approve complex and contractual appeals and letters to insurance companies. 

• Manage daily workloads of Operations Support Department Staff.

• Enlist the assistance of Provider Representatives on an individual or batch case level to resolve complex claim and appeal issues. 

• Audit and review client status reports.

• Provide daily, weekly, or monthly feedback as requested by leadership. 

Required Skills:

• Specialized DRG experience is required.

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

To learn more, visit: R1RCM.com

Visit us on Facebook