Accounts Receivable Analyst

Job Title:

Shift:

Roles and Responsibilities:

• Manage

  end-to-end follow-up

  on insurance claims with US healthcare payers.
• Analyze and resolve

  denied, underpaid, and pending claims

  through effective root cause analysis and corrective action.
• Contact insurance carriers via phone to obtain claim status and take necessary next steps (appeals, reprocessing, or corrections).
• Review and interpret

  Explanation of Benefits (EOBs)

  and

  denial codes

  for accurate claim resolution.
• Work on

  insurance aging reports

  and maintain proper documentation of calls and actions taken.
• Collaborate with internal teams (coding, billing, and payment posting) to resolve discrepancies and accelerate resolution.
• Ensure claims are processed in a timely manner in accordance with

  payer-specific guidelines

  and organizational SLAs.
• Maintain daily productivity and quality standards as per expectations.

Key Skills Required:

• Strong knowledge of the

  entire RCM lifecycle

  , including patient eligibility, charge entry, billing, AR follow-up, denial management, and payment posting.
• Hands-on experience in

  insurance calling

  with the ability to manage a high volume of calls and follow-ups independently.
• Proficient in identifying common denial reasons, rejections, and executing appropriate resolutions.
• Experience with

  RCM tools/software

  and ability to document calls/actions accurately.
• Strong

  verbal and written communication

  skills to effectively interact with insurance representatives and internal stakeholders.
• Attention to detail, time management, and ability to work in a fast-paced, deadline-driven environment.

Mandatory Requirements:

• Minimum

  1 year of experience

  as an AR Analyst in the

  US healthcare industry

  .
• Prior exposure to

  insurance AR calling

  and denial management workflows.
• Familiarity with

  payer guidelines, denial codes

  , and

  claim follow-up processes

  .
• Proficiency in working with RCM software and Microsoft Office tools.

Eligibility Criteria:

• Graduate in any discipline.
• Willingness to work

  night shifts

  for initial few months.
• Prior experience in

  end-to-end RCM

  .