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R1 RCM Employee Reviews: Moral Objections, Overnight Changes, Forced To Train Foreign Replacements

2025-11-10 0 Dailymotion

Medical biller R1 RCM announced in August, 2024 TowerBrook Capital Partners and Clayton, Dubilier & Rice (CD&R) would acquire the healthcare technology company in a deal that values it at $8.9 billion USD. TowerBrook and nonprofit hospital operator Ascension Health were the company’s largest shareholders. Ascension (19 states / 140 hospitals, 160000+ associates & 36000+ affiliated providers) is R1 RCM''s top client.

1,149 reviews by currently & previous employees on Indeed.com shed some disturbing light into the management of this company.

- A formerly employed Medical Records / HIM Analyst in Salt Lake CIty, Utah on March 13th, 2024 writes that during the recent health crisis they observed policies and processes change as it relates to dealing with hospitals. They add they didn't feel they were treated as an equal team member &: "It didn't take me long before I recognized that morally, I couldn't support practices that are contrary to my personal beliefs."

- A Registrar (Current Employee) based out of Orem, UT on March 2, 2024 writes: "But the company is awful. They consistently introduce new elements that make the work more difficult for patients, registrars, and clinical staff alike. They recently introduced a remote team based out of India which inputs patient data into hospital systems, leaving their team out of the process almost entirely. As a result all our metrics have tanked, and we're consistently locked out of accounts by that team as they take upwards of 30 minutes to complete a single patient. There's far more to this job than meets the eye, and it's made much worse by a meddling C-Suite that seeks to justify their own existence via meaningless and onerous add-ons."

- A Recovery Specialist (Current Employee) who works remotely writes on July 24, 2024: "Company is running itself into the ground at a record pace
I've never seen a place plummets so far and fast. Been there for 4 years. They suddenly became overwhelmingly micromanagy overnight. Bonuses are gone. Overtime is gone. Both with no explanations. They are putting all of their focus on "global" teams and are actually actively firing the people that trained the off shore teams. People are suddenly given way more work, outside of their job description with no extra pay. Everyone is making less money than they ever have and doing more work than ever."

A formerly employed Authorization Coordinator in Tuscumbia, AL on February 3, 2024 writes: "Good management until you see beneath the mask
Worked for a hospital on campus and our positions were contracted out to R1, everything was sold as rainbows and sunshine in a WFH job. It was great until we learned that we would not only manage our own facility but also others under the same umbrella, most in other states. Then only found out later that the other representatives they had "assisting" (training) under us were made to replace us and we had to apply for a different position within the company."