Accounts Receivable Analyst

About the role

As an experienced Accounts Receivable Analyst, you will deliver Back End Revenue Cycle Management (RCM) services, including Billing and Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds, for health care provider clients.

Responsibilities

• Review AR aging reports and work queues to identify unpaid and delayed claims.
• Follow up with third party payers, including commercial and government payers, on outstanding balances to understand claim status and payer requirements to adjudicate claim.
• Analyze claim status, remittance advice, and Explanation of Benefits (EOBs) to determine root causes of non-payment.
• Document claim status details and payer-provided information.
• Provide account information to payers and resolve issues related to eligibility, authorizations, claim edits, coordination of benefits, and missing documentation.
• Rebill corrected claims and route issues to coding, billing, credentialing, denials, and/or clinical teams as needed.
• Review payments, contractual adjustments, denials, and patient responsibility balances to validate accurate account resolution.
• Adhere to defined SOPs and workflows and work within Epic Resolute Hospital Billing, claims clearinghouse, payer websites and portals, and other systems and required by workflows.
• Maintain productivity and quality standards; submit to performance improvement plans as required according to guidance from engagement management.
• Support team members in resolving complex claims.
• Support engagement management in pulling performance reporting.

Requirements

• Required: Bachelor's degree in information technology, business, healthcare, or a related field; or equivalent experience
• 2+ years of experience in hospital accounts receivable follow-up operations or related revenue cycle functional area
• Intermediate proficiency in Epic Resolute Hospital Billing application
• Experience working according to high performing productivity and quality standards
• Experience working in claims clearinghouse system
• Familiarity with Epic Analytics and Reporting applications
• Experience using Epic Resolute Hospital Billing
• Experience working in claims clearinghouse systems
• Experience using Epic Analytics and Reporting applications
• Ability to travel 10%, on average, based on the work you do and the clients and industries/sectors you serve

Qualifications

• Bachelor's degree in information technology, business, healthcare, or a related field; or equivalent experience
• 2+ years of experience in hospital accounts receivable follow-up operations or related revenue cycle functional area
• Intermediate proficiency in Epic Resolute Hospital Billing application
• Experience working according to high performing productivity and quality standards
• Experience working in claims clearinghouse system
• Familiarity with Epic Analytics and Reporting applications
• Experience using Epic Resolute Hospital Billing
• Experience working in claims clearinghouse systems
• Experience using Epic Analytics and Reporting applications
• Ability to travel 10%, on average, based on the work you do and the clients and industries/sectors you serve

Skills

• Ability to work independently and collaborate as part of a team
• Effective written and verbal communication skills
• Meticulous attention to detail and quality of work product
• Ability to build and sustain professional relationships
• Ability to lead projects or workstreams
• Ability to manage and prioritize multiple tasks in a fast-paced and dynamic environment
• Strong interpersonal skills and professional demeanor
• Ability to meet deadlines

Benefits

• Deloitte offers a competitive salary range of $70,000 to $90,000, subject to the facts and circumstances of each case.
• The company may offer a discretionary annual incentive program, subject to the rules governing the program.

Pay

A reasonable estimate of the current range is $70,000 to $90,000.

Schedule

On average, you may be expected to travel 10% of the time based on the work you do and the clients and industries/sectors you serve. Limited immigration sponsorship may be available.