Peer-to-Peer Support Specialist
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 Peer-to-Peer Support Specialist will be responsible for non-clinical tasks related to the payor peer-to-peer workflow. Each day, you will contact payors to facilitate medical discussions regarding concurrent clinical denials. This position involves timely communication with payors to schedule and resolve peer-to-peer cases, as well as handling other non-clinical duties associated with the workflow and case resolution. To excel in this role, you will need strong documentation and communication skills, keen attention to detail, and the ability to efficiently navigate multiple programs simultaneously.
Here’s what you will experience working as a Peer-to-Peer Support Specialist:
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Make initial contact with payors to coordinate payor peer-to-peer activities.
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Schedule follow-up calls with payors to resolve payor peer-to-peer cases.
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Manage workflow to promote timely and quality success for clients.
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Format appeals for submission to various payors.
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Submit appeals to various payors in accordance with specific facility protocols.
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Work on concurrent and post-bill denials using various methods, including calling payors, faxing, mailing, courier services, and online portals.
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Navigate the PAS portal, R1 software suite, and utilize other online tools/software and resources.
For this US-based position, the base pay range is $16.88 - $25.51 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.
CA PRIVACY NOTICE: California resident job applicants can learn more about their privacy rights California Consent
To learn more, visit: R1RCM.com
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