AR Analyst, RCM

Tips: Provide a summary of the role, what success in the position looks like, and how this role fits into the organization overall.

Responsibilities

• Examine Denials resulting from non-compliance to Payor billing requirements, work
• with the Payor to find a resolution, and implement the correction by escalating to
• Leadership
• Review 120+ AR for collection feasibility and determine adjustments required
• Propose process improvements to address repeated issues or trends
• Apply knowledge of insurance billing information including modifiers, authorization
• criteria, CPT, ICD-10 coding and payor specific requirements
• Maintain communication with Payors regarding changes to policies and procedures and
• communicate the same to Leadership
• Support the development and maintenance of Payor performance metrics (Denial Rate by
• payor, Gross Collection Rate by payor etc)
• Maintain the First Pass resolution rate for practices at 90% or above

Always maintain the aging of Client Review AR bucket at less than 10% for 120+ and

• less than 20% for 90+ AR

Requirements:

• Graduate in any stream.
• Good comprehension of and command over English language.
• Good analytical skills. Above average logic and reasoning ability.
• Career focused and Results oriented.