AR Analyst

POSITION OVERVIEW

The is an Accounts Receivables position and is responsible for resolving denied and past-due claims by analyzing account history, payer responses and system data. This role supports root cause identification, escalates recurring issues, and collaborates across departments to improve reimbursement outcomes for Radiology and interventional practices.

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Review and analyse visits that have been allocated for follow-up and resolution.
• Understand and interpret the full account based on past notes, transactions, Explanation of Benefits (EOB), Electronic Remittance Advice (ERA), and denial codes.
• Understand the issue and possible resolution within the system, clearinghouse or payer portal.
• Take appropriate action as required based on solutions found and capture clear and concise notes.
• Meet Daily productivity and Quality targets related to claim resolution.
• Coordinate with internal teams (billing, coding, calling, payment posting) to address account issues.
• Stay updated with payer guidelines, HIPAA regulations, and CMS industry updates.
• Escalate patterns related to insurance denials, diagnose problems and develop resolution strategies for effective process improvement.

QUALIFICATIONS

• 2 to 4 years of experience in A/R follow-up (US healthcare) with a graduation.
• Good knowledge of insurance portals and claim status tools (e.g., Availity, Navinet, Optum websites).
• Experience with Medicare, Medicaid, and commercial payer follow-up.
• Knowledge of healthcare reimbursement, denials and appeals.
• Excellent critical thinking and problem-solving skills.
• Results oriented, customer centric, team player.
• Strong verbal & written communication skills.
• Proficiency in MS Office tools.
• Ability to work independently and manage time effectively.