AR Analyst

Overview

The AR Analyst follows up on and resolves insurance claims so healthcare providers receive accurate and timely reimbursement. The role analyzes A/R data, performs claim status checks, handles denials, and maintains compliance with U.S. healthcare billing and regulatory requirements.

What you'll do

• Perform pre-call analysis and check claim status via payer calls, IVR, or payer web portals.
• Document all claim activities in client software, ensuring a clear and compliant audit trail.
• Conduct post-call analysis and record after-call actions for claims follow-up.
• Review and interpret Explanation of Benefits (EOBs), authorizations, medical documentation, and physician notes prior to contacting payers.
• Analyze A/R data to identify underpayments, denials, and root causes; document with appropriate denial/adjustment codes.
• Ensure compliance with all reimbursement, billing, and regulatory requirements (including HIPAA).
• Convert denials into payments by filing appeals or correcting claim errors.
• Perform eligibility checks, claim submission, and resubmission as required.
• Monitor fresh claims, denials, suspensions, and appeals to ensure timely resolution.
• Meet or exceed daily/weekly productivity and quality targets.

What you'll need

• High School (HSC) or Graduate equivalent.
• 2+ years of experience in U.S. healthcare accounts receivable follow-up and/or denial management.
• Strong written and verbal communication skills.
• Working knowledge of medical terminology, ICD-10, CPT, and HCPCS codes.
• Basic computer proficiency.
• Willingness to work continuous night shifts.
• Strong analytical and problem-solving skills with attention to detail.
• Assertive and effective in resolving unpaid claims.
• Ability to manage multiple tasks while processing high volumes of claims accurately.
• Strong organizational and time management skills.
• Ability to work independently with minimal supervision.
• Commitment to maintaining confidentiality and compliance with HIPAA.

Nice to have

• Prior experience in U.S. healthcare BPO/RCM.
• Experience with acute EHR systems (hospital-based electronic health record platforms).
• Familiarity with clearinghouses such as Waystar, Realmed, Availity, Change Healthcare, and ViaTrack.
• Proficiency in MS Excel, MS Word, and Google Sheets.

Details

• Location: Chennai, Office.
• Shift: Continuous night shifts.
• Time on system: 9 hours daily.
• Travel: None.
• Working environment: General office, mostly desk-based, with moderate noise levels and occasional periods of stress.
• Individual contributor role.