Complex Denials Consultant (Complex Claims)

R1 RCM

Full-time other-general
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Location
Boise, ID, United States
Posted
July 01, 2026

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 industryโ€™s most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration.

As a Complex Denials Consultant working with the Complex Claims team, you will represent healthcare providers in their claim disputes for workers compensation (WC), motor vehicle accident (MVA), third party liability (TPL), and veteransโ€™ affairs (VA) claims. You will be responsible for interpreting and applying state-specific statutes, providing guidance on billing sequencing, and advising internal stakeholders of strategic ways to quickly and efficiently recover on denied claims. To thrive in this role, you must maintain a foundational understanding of ap...