Full Description
AR Analyst US Insurance Standard
Job Description
A senior-level revenue cycle specialist in charge of the strategic well-being of a healthcare provider's aging bucket is the AR Analyst (Accounts Receivable Analyst). Your main goal is to find out why money is "stuck" in the revenue cycle by conducting in-depth data analysis and going beyond straightforward follow-ups. As a financial investigator, you monitor Denial Trends, compute Days Sales Outstanding (DSO), and employ sophisticated tactics to optimize collections. An expert in US healthcare reimbursement structures (HMO, PPO, Medicare, Medicaid) and the capacity to transform unprocessed billing data into practical recovery strategies are the best candidates.
Key Duties:
Aging Analysis: Review the AR Aging Report every week and every month, classifying unresolved claims according to "Payer," "Age," and "Denial Reason."
Denial
Trend Identification: To identify systemic trends in denials, examine Electronic Remittance Advice (ERA).
Workflow Strategy: Make sure the team concentrates on high-dollar claims or payers with the best chance of recovery by creating and allocating prioritized "Work Queues" for AR Callers.
Complex Dispute Resolution: Manage high-level appeals for valuable claims that call for legal support or clinical documentation.
Payer Performance Reporting: Monitor and document "Clean Claim Rates" and "Payer Turnaround Times" in order to assist management in contract negotiations.
Write-off & Adjustment Management: Examine and approve or reject requests for write-offs or adjustments, making sure they comply with HIPAA regulations and the provider's financial rules.
We invite you to apply and explore this exciting opportunity!
Warm Regards,
HR - Maria
88708 33430
infohrmaria04@gmail.com