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 services for health care providers.

Responsibilities

• Deliver Back End Revenue Cycle Management 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, 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.
• 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 according to guidance from engagement management.
• 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.

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.
• Able to meet deadlines.
• Ability to provide clear guidance to others.

Pay

$70,000 to $90,000 annually, based on experience and qualifications.

Schedule

Remote role, with occasional travel based on work requirements.