Accounts Receivable Analyst Business Integrity Services

1.0 - 2.0 years

2 - 3 Lacs

tiruchirapalli

Work from Office

Job Title: AR Analyst Location: Trichy Work Mode: Work from Office (WFO) Experience Required: Minimum 1-2 year Shift: Day shift (first month of training will be in night 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 .

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