Medical Biller US Healthcare Claims & Collections (AR Follow-up/RCM) |Eastwood

Job Description – AR Analyst / Senior AR Analyst

Department

Revenue Cycle Management (RCM)

Location

Eastwood City Libis

Role Overview

The AR Analyst / Senior AR Analyst is responsible for managing accounts receivable, ensuring timely follow-ups on outstanding claims, resolving denials, and maximizing collections from insurance payers. The role involves handling both routine and complex AR scenarios, with senior-level expectations including denial analysis, escalations, and mentoring support.

Key Responsibilities

AR Follow-up & Collections

• Follow up with payers via
• calls, emails, fax, and portals
• to resolve outstanding claims.
• Work and prioritize accounts based on value, TAT, and payer guidelines.
• Ensure timely resolution of
• unpaid, denied, or partially paid claims
• .

Denial Management & Issue Resolution

• Analyze and resolve
• denials, rejections, underpayments, and overpayments
• .
• Initiate and manage
• appeals with proper documentation and supporting information
• .
• Identify and correct
• medical billing errors
• impacting claim payment.

Handle

• complex denial scenarios and escalations
• .

Analysis & Process Improvement

• Perform analysis to identify
• trends in denials and payment delays
• .

Conduct

• root cause analysis (RCA)
• for recurring issues.
• Recommend and support
• process improvements to reduce denials and increase collections
• .

System Utilization & Documentation

Use

• workflow systems, client systems, and payer portals
• to manage accounts.
• Maintain accurate and complete
• documentation of all follow-ups and actions
• .
• Work independently on assigned work queues and ensure completion within TAT.

Compliance & Guidelines

Adhere to

• payer guidelines, timely filing limits, and billing protocols
• .
• Ensure compliance with
• HIPAA and Information Security policies
• .
• Protect and use
• PHI appropriately
• , limiting access to minimum necessary.

Team Support & Collaboration (Senior Level)

Provide guidance and support to junior team members.

Collaborate with

• coding, billing, and quality teams
• for issue resolution.
• Communicate trends, risks, and escalations to management and stakeholders.

Additional Responsibilities

Assist with

• special AR projects, reporting, and process initiatives
• .
• Maintain professionalism in interactions with
• patients, clients, and internal teams
• .
• Perform other duties as assigned by management.

Required Skills

• Strong knowledge of
• US Healthcare RCM (AR, denials, billing workflows)

Understanding of

• EOB/ERA, CPT/ICD basics, and payer guidelines
• Analytical and problem-solving ability
• Effective communication and payer handling skills
• Ability to work independently and manage workload
• Strong expertise in denial management and complex AR scenarios