Manager, Complex Claims
Job
R1 RCM
Chicago, IL (In Person)
$81,181 Salary, Full-Time
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Job Description
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 Manager, Complex Claims (Revenue Cycle Operations), you will help drive operational excellence, revenue recovery, and client satisfaction across assigned Complex Claims teams and hospital accounts. Every day you will lead and coach supervisors and team members to achieve productivity, quality, and revenue goals; monitor complex claims performance using KPIs and reporting tools to identify risks and opportunities; and partner with client and internal leaders to improve processes, drive change, and support contractual performance expectations. To thrive in this role, you must be a strong operational leader who can influence change, use data to make decisions, and balance client needs with team performance in a fast-paced revenue cycle environment.
- Here's what you will experience working as a
Manager, Complex Claims:
- + Leading daily operations for assigned Complex Claims teams and client hospital accounts + Using analytics and performance trends to improve productivity, compliance, and net revenue outcomes + Partnering with client leadership to evaluate operational and financial results and drive change initiatives + Standardizing workflows, supporting process improvements, and reinforcing quality and compliance expectations + Developing frontline leaders and creating accountability for sustained team performance •
Required Skills:
- + Bachelor's degree or equivalent combination of education, training, and relevant experience + 5-8 years of revenue cycle experience, preferably in complex claims, collections, or reimbursement operations + 2+ years of supervisory or people leadership experience + Experience with analytics and reporting tools such as Power BI + Strong knowledge of payer processing, reimbursement methodologies, and claims resolution strategies For this US-based position, the base pay range is $65,478.
CA PRIVACY NOTICE
California resident job applicants can learn more about their privacy rights California Consent (https://f.hubspotusercontent20.net/hubfs/4941928/California%20Consent%20Notice.pdf) To learn more, visit: R1RCM.com Visit us on Facebook (https://www.facebook.com/R1RCM) R1 is the leader in healthcare revenue management, helping providers achieve new levels of performance through smart orchestration. A pioneer in the industry, R1 created the firstHealthcare Revenue Operating System:
a modular, intelligent platform that integrates automation, AI, and human expertise to strengthen the entire revenue cycle. With more than 20 years of experience, R1 partners with 1,000 providers, including 95 of the top 100 U.S. health systems, and handles over 270 million payer transactions annually. This scale provides unmatched operational insight to help healthcare organizations unlock greater long-term value. To learn more, visit: https://www.r1rcm.com .Similar jobs in Chicago, IL
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