customer service representative

financial representative

patient services representative

patient registration representative

customer service team lead

R1 RCM

I transition from Billing to customer service because my job went to India. Immediately we were told that we would be on a set schedule. The only good thing is we got to keep our pay. Our training in the department was nowhere near compared what a new hire would get even though we were going to be working in a totally different environment and billing system. I get so many calls from unhappy patients that are being billed either incorrectly (due to incorrect adjustments made from India billing team) or we billed to wrong insurance and I guess India does not do research before sending a balance to patient to try and work the account to the best of their ability. I also think this is the lack of education from R1 employees that work as patient access workers that register and load insurance. The company is all about money and we were just told that we cannot take certain days off even though we have the time. We actual have a "bidding" system that was just implemented by the supervisor that works in the department that is new to it and has never worked in a health care environment before and our time has to be requested in quarters. It is literally the slummiest system I have ever heard of. We also do not have sick time either. The supervisor did not pass any of the tests in training (she was in training with me) and she also is not trained to take calls. She gets paid to micro manage the department's time. I never know when I will have a day off and constantly have to check and see. We have black out days now that do not allow us to take time off a day after paid holidays, making it impossible for anyone to be out of town to see family as most people do around holidays. The employee handbook for 2019 has not been released yet they keep implementing all these standards of processes to the department on what rules we should follow and things for us to do. There is no upkeep on the standards of the actual work we do. Patients are going into collections because as billers, we are not to drop claims to insurance even when the patient calls to provide it to us when they get a bill. We are to send it to a back-office team that is 3 months behind that puts the patient in collections and they act as though it is no big deal. I am so upset that I am constantly battling getting straight answers and time off for a medical condition and HR is absolutely no help. If you are an experienced professional searching for a job in the medical industry, please avoid this job at all costs. There is no one that will listen to you, your ideas, help you grow. You will simply be asked to sit in a seat and fulfilled a limited duty of answering calls or billing claims behind an India office that knows nothing of American Healthcare or practices. I cannot believe Ascension sold their business to this company. This is R1’s first contract with a healthcare company, they are purely revenue based and recently acquired another company called Intermedix in May 2018 with the money saved by moving probably more than half of their jobs to India. If you go to Ascension for healthcare, please make sure your providers office has your current insurance information or make sure that they do their own billing and get a patient portal to keep track. The time you will spend on the phone waiting to speak with CSU and the turnaround time it takes to get your issues resolved are really not anything any patient (be they are sickly or not) should have to deal with. I do not enjoy anything about this position. I am currently looking elsewhere, and I believe they do not value their employees over the dollar. They will say anything to get you through their doors. Oh, we also have no where to take breaks either !

I began working for Accretive in January and was quickly moved up from part-time to full-time employee. The work is steady and predictable, a typical day consisting of close to a hundred calls out to patients if you can manage between the insane number of inbound calls you receive from other hospital sites on which you're barely trained. The co-workers are mostly friendly and extremely helpful, you find a sense of camaraderie in being a "worker drone" for upper management. The management infrastructure is horrendous, placing too much pressure on middle management for production expectations, which affects the attitudes of the team leads and trickles down to the hourly employees. I was terrified of my team lead and had no idea what to expect walking in to work on a daily basis. Expectations are ridiculously high and demanding, laughably so. I learned a lot in this position about office politics, cattiness, assumptions, and management who doesn't place a value of any sort on employees who are willing to go the extra mile and work harder in order to meet corporate production expectations. The hardest part of the job has to be dealing with this management and the way it works, I always said if I was just speaking to patients all day, even the difficult ones, my job would have been delightful. The most enjoyable part of the job is twofold: First, there really are some wonderful people whom you have the opportunity to speak with and who can brighten your day and encourage you where your management fails to do so, (I often felt more encouraged by a particularly kind patient who told me I did a 'good job' than I ever did from my team leads). Secondly, they are extremely flexible with hours and provide competitive pay, so the appeal always lies in the students who need work to be molded around their class schedules, and it truly is work, (aside from the catty nature of the office), that you can leave at the office and enjoy life outside of work. Overall, I wouldn't recommend working here. The management is horrible and job security doesn't exist. There's little opportunity for advancement if you don't have an "in" with someone in middle or upper management, and the turn-over rate is too high to waste your time.

I feel like Accretive is a mix of everything! I have been with the company for two years. I have been promoted once and am looking for a second promotion this coming year. So I feel the ability to move around is not as difficult as previous reviews state! I do feel like if you are too good at your job they try very hard to keep you put. So that is something you have to fight through, but if you know the channels, it can work to your favor! 

I can tell you that the trickle down of information is terrible! In one building there are three main units and they are all reading from different books. One department reads out of an instruction manual for routine office maintenance, one is reading action/adventure and the other is reading fantasy! But, with that being said, if you do your work and keep to yourself, what the other departments are doing will not matter to you. 

All of these reviews state that there is an issue with management. That is to be said with all companies and especially by former employees who are still a little passionate about their job loss. In my opinion there are several positions of management that are filled with people that maybe need to be retrained or demoted for their performance. I believe poor management styles and unclear corporate standards are the reason for the high turnover rate. 

I believe all of this is about to change! It is public knowledge, you can look it up, that Accretive signed a deal with Ascension Health and there are changes and expansions about to happen. So this is the new ground floor for this company and I am seeing positive things in its future. 

Finally, there are three things that you are guaranteed to get when work for Accretive:

1) Knowledge of the never ending Healthcare industry! 
2) Good friends! Coworkers, BFAW - Best Friends At Work and people to vent with about your previous call center jobs! (PNC, AT&T, Answer United, etc.) 
3) Parking Tickets! If you accept it now you won't be so bitter about later!

I hope this helps you make a decision!

I have been with this company from the beginnings, and following transition into R1, Cloudmed (now R1RCM) no longer feels the same. The advancement opportunities seem to be unfairly geared toward favoritism, instead of hard work and commitment. I have on average spent 12+ hours daily and worked weekends, made large advancements in training and education, in addition to my own responsibilities as a leader, performed management duties, and at the same time managed to personally inflow over 6 million in revenue to clients in my bonus time in a single year; but was unfairly passed over for a management position I had been waiting patiently for almost 2 years (position handed to someone whom I assisted training). Although this individual is a good person and also deserving, thier skillset didn't compare to my qualification, experience, cross training, personal attributes in alignment with the position and my overall knowledge. They are biased, and in my personal experience harsh when it comes to minor learning mistakes, which these will ultimately outweigh all your major accomplishments. Management is easily intimidated by talented individuals succeeding; highly skilled, motivated, innovative and creative members are not valued as they should be. No explanation could be provided for the lack in judgement. Now, after almost 4 years of non-stop hard work and commitment, looking elsewhere to find a company which will appreciate and value A+ individuals with leadership and loyalty to deserving contributors only seeking advancement and management opportunity without being hindered. -The plus side for working here is that they are extremely flexible, but will expect much from you. They are thoughtful of family circumstances and understanding on that regard, some managers less than others.  Benefits are not great, and medical coverage is hardly anything for the price. Compensation could be better. Salary increases for promotions are small. 

Onboarding is good. Training is mediocre. You're lucky if you get to work just an 8-hour day. Monumental reporting to manage inventory - with only videos to learn from (that are all over the place and include tangent after tangent). I learned how to read a UB04 and how to write an appeal letter. I also learned what it's like to work in a toxic environment and how to file a complaint with HR (that will be followed up on but not acted upon). I learned what it's like to be made aware through peers that you are not liked or respected by upper management, after they've been in meetings where Teams chat windows are open with dialogue speaking openly about the dislike). I've learned what it's like to be condescended to and undermined during team meetings. Those in management positions during my short stay were either struggling with the same issues and had to take leave to preserve their mental and physical health or hid the same very well. Supervisory turnover: most of my team had 6-7 different supervisors in a calendar year. I was hired in with 2 other supervisors and a manager, and only 1 remains to this day. The hardest part of the job was being hired for such an intricate position, and it being self-taught with having to put in 50–60-hour work weeks to figure it out on my own. Asking questions? Don't be surprised if you are told "Do not ask me questions during the day, I won't answer them until EOD." Where does that leave you when you have a team asking technical questions about things you have not been exposed to or trained on? You guessed it. The most enjoyable part of the job was working with two great peer supervisors and leading a good team of nurses. Even though morale was lower than low, they gave their time and efforts to the work. Most had to put in many extra hours to meet productivity. Many had to give up time with their families to devote those extra hours - and for what? Not much. I was one of the many who resigned from this position without another job lined up. Be prepared for that!

My time with R1 RCM has been nothing but stress. I enjoyed my job at a fast food restaurant more than I have with this company. There are so many things wrong and they manage to keep it all hidden from you till you’re in the job for about a month and then you realize just how bad it is. Trying to get ahold of the person hiring you is like pulling teeth, especially if you’re not in IL where the company is based. I sent so many emails and tried calling the person that was “keeping in touch with me” and heard back maybe once. Terrible staff load, couldn’t get anyone to help cover my shift or the shifts around my shift. I worked my third shift ever, a grave shift mind you, by myself in an ER. They go through people like crazy. Upper management is a total joke, as well as HR. I expressed multiple concerns to them and they either ignored me or told the person that I had an issue with, that I had an issue, causing even more issues. There is no privacy, security, or action taken if you have an issue, and if there is action taken it backfires back onto you. Their policies are beyond ridiculous. Their policy implies that you’ll never get sick, and if you do, tough news. You either show up or get written up. They don’t accept doctors notes, even for a legitimate reason. I have run into the issue a couple times and couldn’t take prescriptions the doctor recommended because I had to be at work, making it harder for everyone else to work with me because I wasn’t productive and everyone had to pick up slack I caused because I couldn’t work efficiently or effectively. Nursing staff doesn’t even work for this company and they all say they would never. Their version of “trying to find coverage” is posting it on a job board and if no one picks it up, it’s all on you. Their collection goals are ridiculous. The amount you are required to collect is not negotiable, and if you don’t collect it you go to a training that is useless and doesn’t make trying to collect any easier. You can never catch a break with this company. And if you try, you’re written up.

Good place to work if you don't really know if you want to stay there forever. Accretive is not too professional most of the time and always has trouble with their new patient accounts system. There is NO job security at all. They are always on you about every thing you say or do on the phones. And you never know wether or not you will be fired. 
Other than that, I do have positive things to say about Accretive. 
The people there are very helpful and very considerate of others. Very upbeat people and the Team Leaders are always doing their best to strive for the company even though it is not too professional. Everyone there was always very friendly and never any drama. 

A typical day was on the Phone Dialer system and on the patient account system AHTO Contact. Taking and making inbound and outbound calls to help the patients resolve any problems or payments they need help with. Outbound calls were based on collecting for medical bills. So striving for a patient to pay was very important in my department.

However, I really enjoyed my job at Accretive. And the friends that I made. Especially, my Team Leader, she was my first and only supervisor who went out of her way to help and strive for the best of our department. Even though she was sick most of the time and was out of the office for a while, she was still making sure that her team was still doing their best without her. She made my experience at Accretive very easy and absolutely great! Also, when I would have trouble with anything, she made sure she trained me in order for me to continue doing my best. It was because of her that I managed to build my confidence at this job.

• Managed an enterprise scale infrastructure of up to 600 servers with about 300 virtual servers on Hyper-V in 3 datacenters, 7 corporate offices and over 2000 US users and over 3000 India users.
• Managed projects for building and delivering server environments with required apps, security and compliance settings.
• Primary and lead person for: planning environment builds, requesting hardware quotes, building servers, installing SQL and other apps and agents, SAN drives changes and backups.
• Expert in SCVMM and Hyper-V 2008 and 2012.
• Expert in creating clusters with physical and virtual servers that needed to be highly available.
• Expert in installing and SQL server and its features for 2005, 2008 and 2012 with SQL clustering.
• Knowledgeable in Dell server and storage hardware, DRAC, IP KVM, Open Manage and OpenManage Essentials.
• Participated in internal and external IT audits, legal holds and data retention tasks and worked with auditors like KPMG.
• Installed, configured and utilized TripWire Enterprise and TripWire Log Center for change management and compliance regulations.
• Part of team that keeps the company compliant with: HIPAA, SOX, SSAE-16 and Hi-Trust.
• Used SCCM to push out updates, packages and compliance settings to servers and desktops.
• Used SCOM and IPMonitor to monitor servers, services and performance.
• Used SolarWinds Storage Manager and EMC Symmetrix Management Console to monitor and inventory SAN storage, performance, LUNs and thresholds.
• Used Microsoft DPM and Backup Exec to backup servers. Used Iron Mountain to securely off-site the tapes each week.
• Wrote documentations and trained team members and support personals on apps which I excelled in and implemented in the enterprise.
• Worked with datacenters: SunGard and ViaWest to maintain the managed servers and services.

This company cannot keep on the people it hires for longer than a year. I’ve been working onsite with ER staff for two now, and I can say with certainty that this job is a wayrest between other jobs. Generally paid $17-19 per hour for most employees, which sounds nice until you realize your department is chronically understaffed and you’re stuck at a hospital ER for 12 hours every day with minimal training on how to react to injuries and their severity. You are the first face a patient sees, and the first person who has to discern their emergency level before triage. My location isn’t a trauma hospital, but you will still see blood, vomit, and dead bodies on occasion. Do you want to armband dead bodies at $16 an hour?

Upper management doesn’t care about you, only metrics. That goes for R1 and the hospital. Lower management’s hands are tied to do more than placate you. Every employee is overworked on some level and eventually looking for a new job when they hit breaking point. You are encountering sick, unhappy, angry people every shift who all think you are a gatekeeper baring them from healing. That is extremely emotionally draining. 

If they paid $26+ to deal with all of those things, then it’d be fine. But they don’t. People routinely don’t get their raises, and when they do it’s around 50c. 

Get this job if you are alright with dealing with those things, but do not stay here long enough to stagnate. There is no promotions past team lead for most employees, and when you DO get salaried, you’re going to get called at all times of the day to fill in for call outs (day or night) and other interpersonal silliness. 

The most enjoyable part of the work is the co-workers, but even they are extremely gossipy and prone to drama due to the low pay and long hours. 

Truth be told, I'd love to have my job back here. But only because since they fired me I've been unable to find gainful employment elsewhere. Literally, the only thing this place has going for it is the appeal to students. It provides pretty good work/life balance and hella good compensation, especially if you have the time to devote to full-time status. 

Other than that, this place is a mess. Too high expectations from senior management, too much pressure put on the team leads which trickles down to your hourly employees and creates frustration and lapses in communication. Moving up in the company can happen very quickly or painfully slowly, and neither is good. Production expectations are pretty much insane, and true customer service is sacrificed for those expectations, wherein rude employees with poor customer rapport are rewarded and "slow" employees with positive customer ("patient") reviews are punished. The climate that's encouraged is back-biting and filled with gossipy, high school-like drama. One team lead in particular plays favorites and can be extremely difficult to talk to and work with. 

Best advice? Keep your head down and mouth shut. Unless you're looking to work full-time, and then play the ruthless game, but also make sure you're covering your own tail at all times, or you can and will be taken down the first time they smell blood in the water.

There are pros here, and I'd work here again if I hadn't been blacklisted, (I was fired for a mistake that I was immediately honest with my team lead about), but the cons certainly outweigh all of the pros.

Top Job Titles	Average Salary
Customer service representative 1862 salaries reported	$17.97 per hour
Financial representative 161 salaries reported	$19.81 per hour
Patient services representative 315 salaries reported	$18.41 per hour
Patient registration representative 181 salaries reported	$18.48 per hour
Customer service team lead 40 salaries reported	$22.33 per hour

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