Medical Biller US Healthcare Claims & Collections

About The Role

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