Accounts Receivable Analyst

About the role

As an experienced Accounts Receivable Analyst, you will work in a collaborative environment delivering Back End Revenue Cycle Management (RCM) services for health care providers.

Responsibilities

• Deliver RCM services including Billing and Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds.
• Review AR aging reports and work queues to identify unpaid and delayed claims.
• Follow up with third party payers to understand claim status and payer requirements to adjudicate claims.
• Analyze claim status, remittance advice, and 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 high productivity and quality standards; submit to performance improvement plans as required.
• Support team members in resolving complex claims.
• Support engagement management in pulling performance reporting.

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.

Preferred

• Experience using Microsoft Word, Excel, and PowerPoint.
• Experience supporting clinical or healthcare business operations.
• Experience managing multiple projects or workstreams.
• Experience preparing and delivering technical demonstrations.
• Experience analyzing billing workflows, claim issues, or operational data.

Pay

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

Schedule

Onsite and/or remote client service delivery based on the work you do and the clients and industries/sectors you serve.