Poor Leadership, Excessive Micromanagement, No Encouragement/ Appreciation - Patient Registration Representative R1 RCM Employee Review

1.0
11 Jan 2019
Recommend
CEO approval
Business outlook

Pros

Turnover is so high that if there are any personality conflicts, it's unlikely that person will be there for very long

Cons

I am part of the large (2300+) group of employees outsourced by Intermountain Healthcare to R1 RCM. From the moment the annoucement was made, leadership at both R1 and IHC have purposefully withheld information regarding the expected changes, reneged on promises that were made, and flip flopped regarding PTO policies, leaving entire departments of people with no available PTO as we head into the flu season. Medical deductibles and out of pocket amounts DOUBLED during open enrollment with no forewarning from leadership. There is little to no room for advancement, employees outside of HQ in Chicago and India feel disconnected and forgotten, and the levels of micromanagement have increased to unsustainable levels. Despite press that states that 90% of employees accepted an offer with R1 at the time of transition, since that time (April 2018) I have witnessed over a 40% turnover in our department. Employee morale is at an all-time low, management seems to only care about maintaining their own positions, and expectations for the future are low. RUN, don't walk from R1. You can do better. Healthcare SHOULD do better.

Explore other reviews about R1 RCM

5.0
3 Mar 2026
Recommend
CEO approval
Business outlook

Pros

competitive pay, remote work, unlimited pto

Cons

sudden org changes; shifting priorities

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R1 RCM Response
2mo
Thank you for your review. We understand the important role that our Total Rewards program plays in the lives of our employees and their families. We’re proud to offer excellent and competitive compensation and rewards that support our employees’ physical and financial health – both now and in the future.
2.0
9 Jun 2026
Recommend
CEO approval
Business outlook

Pros

The voluntary separation offer was good.

Cons

I and hundreds of colleagues were transferred from Providence Health & Services to R1. We were told we were guaranteed our jobs for a year. They started offering voluntary separation packages less than a year in. This was suspicious. I didn't take the first couple of offers, but eventually I did - things were feeling uneasy. Since leaving I've heard that there were several layoffs. R1's India team has taken over a lot of the coding we were doing. In the reviews I read before we started with R1 I know losing jobs to the India team was common. I'm glad I left when I did but it's been hard finding a new job.

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