Complex Denials Consultant (Complex Claims)
This is the employer's own posting, not a copy on a job board.
What we know
Is it still open?
Confirmed still open
Last checked 6h ago — checked against the employer's own applicant tracking system, which is the company answering directly.
We re-read the employer's own applicant tracking system and the posting was still there. That is the company answering directly.
How old is it?
Posted 99d ago
The date the source published, not the day we noticed it (2026-06-25). Last seen at its source just now.
We have tracked this listing since 23 Sep 2026 (8 days). The employer's own board has carried it every time we have read it, most recently just now.
Is it remote?
The listing says yes
The location field doesn't say remote, so our assessment is based on the title or the description. Read the listing before applying.
Who may apply?
United States
The description states no restriction of its own. This is the source's own tag.
Pay not stated
Similar roles pay $112.5k–168.0k/yr
Middle 50% of 318 listings that do state pay — Consulting · all levels · United States · USD/year. This employer has published no salary; this is what comparable listings we hold disclose, never converted between currencies or periods. How this is calculated.
Skills named in the ad
Recognised terms only, from a fixed vocabulary — this is what CV matching compares against.
Carried by 1 source
-
workday employer's own board first seen 8d ago · last seen just now
- location not stated
The listing
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 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 veterans’ 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 applicable regulations regarding payment, coverage, lien filing practices, and other relevant topics.
Here’s what you will experience working as a Complex Denials Consultant:
- Oversee and assist in the pursuit of reimbursement of denied WC, MVA, Other TPL, and VA claims.
- Draft complex appeals, correspondence, and other documents as appropriate.
- Understand and skillfully apply state-specific statutes related to WC claims.
- Oversee lien practices and ensure that they comply with applicable state laws, Patient Protection Acts, and evolving case law.
- Assist with the training of recovery staff team members and provide necessary feedback as requested by management.
- Coordinate with external counsel on strategy, pleadings, settlement posture, and cost-benefit analysis.
- Develop new and innovative legal and procedural arguments and tools for team usage.
- Foster professional, collaborative relationships to facilitate favorable resolutions.
Required Qualifications
- Law degree from an accredited college or university.
- Barred in one state or must be bar-eligible within 6 months of graduation.
- Legal experience with emphasis on one or more of the following:
- Healthcare law
- Insurance defense or plaintiff personal injury
- Hospital or health system legal affairs
- Complex reimbursement or lien litigation
- Strong working knowledge of:
- MVA laws and insurance structures
- Hospital lien statutes and enforcement
- Regulatory compliance in healthcare reimbursement
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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