The worst job I've ever had - Patient Access Representative R1 RCM Employee Review

1.0
Sep 11, 2020
Recommend
CEO approval
Business Outlook

Pros

- can be completely remote which some people prefer. - I actually tried really hard to think of another pro but I can't

Cons

- Micromanaging. This company will monitor how long you spend in the bathroom. Theu will ask about your every move.. You are literally not allowed to leave the computer for *anything* and you will get marked down if you do - even If it is a documented emergency. If you get marked down, you will never be promoted. - 4 days of sick leave. No matter what. My coworker almost died and had to be rushed to the hospital for 2 days and went over her 4 day sick limit and got in trouble for it. Doesn't matter if your child gets sick or you have an emergency, etc. You *cannot* have more than 4 days of leave. - 3 weeks of vacation BUT you have to request it super far in advance, management takes FOREVER to go over it, and it often gets denied. Don't even think about taking every holiday off. - This company only cares about numbers and money. Most meetings and events are spent reviewing charts of money. - Horrible communication, an absolute mess of a company. Every single department will tell you a rule works a different way, every manager will tell you something different, and they are constantly restructuring. - The work is the most mind-numbing, boring, degrading work i have ever done. Thinking about registering patients for another day makes my head hurt.

Explore other reviews about R1 RCM

5.0
Jul 9, 2026
Recommend
CEO approval
Business Outlook

Pros

Great Company, high support, real opportunities good working environment

Cons

None to speak of, genuinely positive experience

2.0
Jun 9, 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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