Account Receivables Analyst (Ambulatory)
Posted 2025-08-23
Remote, USA
Full Time
Immediate Start
<p><u><b>Accounts Receivable Analyst</b></u><br><br>● 2 Years of mandate experience in AR calling /Accounts receivable follow-up/denial management for US healthcare Ambulatory services experience.</p><p>● Perform pre-call analysis and check the status by calling the payer or using IVR or web portal services.<br>● Maintain adequate documentation on the client software to send the necessary documentation to insurance companies and maintain a clear audit trail for future reference.<br>● Record after-call actions and perform post-call analysis for the claim follow-up.<br>● Provide accurate information to the insurance company, research available documentation including authorization, physician notes, medical documentation on PM system, interpret explanation of benefits received, etc. prior to making the call.<br>● Perform analysis of accounts receivable data and understand the reasons for underpayment, days in A/R, top denial reasons, use appropriate codes to be used in documentation of the reasons for <span style="overflow-wrap: break-word; display: inline; text-decoration: inherit; hyphens: auto;">denials/underpayments.</span><br>● Comply with all reimbursement and billing procedures for regulatory, third party, and insurance compliance norms.<br>● Responsible for meeting daily/weekly productivity and quality reasonable work expectations.<br>Responsibilities<br>● Claim processing and submission.<br>● Submit the claim to insurance companies to receive payment for services rendered by a healthcare provider.<br>● Taking denial status from various insurance carriers<br>● Checking eligibility and verification of policy<br>● Analysis of the data<br>● Converting denials into payments<br>● Follow Health Insurance Portability and Accountability Act (HIPAA)<br>● Account follow up on fresh claims, denials, and appeals.<br>● Checking the claim status as per their suspension and denials<br>● Achieving weekly/monthly production and audit target<br><span style="overflow-wrap: break-word; display: inline; text-decoration: inherit; hyphens: auto;">Qualifications/Requirements</span><br>● High School (HSC) or graduate or equivalent with strong analytical skills.<br>● Good written and verbal communication skills.<br>● Knowledge of medical terminology, ICD10, CPT, and HCPC coding.<br>● Basic working knowledge of computers.<br>● Willingness to work continuously in night shifts.<br>Preferred<br>● Familiar with healthcare patient billing systems (Practice management) like NextGen, eCW, Carecloud, Docutap.<br>● Familiar with clearinghouse like Waystar, Realmed Availity, change healthcare, via track.<br>● Proficiency with MS Excel, MS Word, google spreadsheet, etc.<br>Other Skills and Abilities<br>● Ability to work independently with minimal supervision.<br>● Good analytical skills, assertive in resolving unpaid claims.<br>● Ability to multi-task and accurately process high volumes of work.<br>● Strong organizational and time management skills</p><p>Individual Contributor</p>