AR Analyst Extending the AR Process
Job Description
The main "Financial Analytics Anchor" and "Revenue Cycle Data Guardian" for our healthcare billing operations is the AR Analyst-Medical Billing & Revenue Cycle Management. Your main task is to analyse accounts receivable ageing structures, find root-cause denial patterns, assess payer reimbursement trends, and optimise cash collection procedures, while AR callers perform direct insurance telephone follow-ups and medical coders review clinical documentation. This includes creating ageing bucket benchmarks, conducting in-depth statistical evaluations on outstanding claim amounts, assessing Explanation of Benefits (EOB) and Electronic Remittance Advices (ERAs), and creating target collection plans for billing teams.

Responsibilities:
AR Ageing Analysis & FinancialTrend Reporting: Analyse high-dollar balances, uncollected claim clusters, and ageing velocity across various medical specialities by doing a thorough data analysis on accounts receivable ageing balances.
Root-Cause Denial Analytics & Trend Mitigation: Identify systematic provider, coding, or clearinghouse issues and suggest corrective operational workflows; classify, monitor, and analyse claim rejection and denial patterns.
Payer Reimbursement & Contractual Variance Auditing: To identify contractual underpayments, fee schedule inconsistencies, or unused contractual allowances, compare actual insurance payments to agreed fee schedules.
ARWorkflow Optimisation & Collection Strategy: To increase collection yield and reduce Days in AR, segment outstanding AR portfolios and assign focused worklists to AR callers and claims resolution teams.
Auditing Write-Off and Credit Balance: In order to ensure complete regulatory compliance and no unjustified revenue losses, audit proposed write-offs, bad debt write-down requests, and patient credit balances.

Skills:
Advanced RCM Analytics & Financial Data Modelling: Extensive knowledge of ageing roll-forwards, net collection computations, accounts receivable management metrics, and US healthcare revenue cycle analytics.
Payer Rules, EOB/ERA Analytics & Denial Code Mastery: Expert analysis of Claim Adjustment Reason Codes (CARCs) and Remittance Advice Remark Codes (RARCs) combined with advanced working knowledge of commercial (BCBS, UHC, Aetna, Cigna) and government (Medicare, Medicaid) rules.
Statistical Auditing & Quantitative Problem-Solving: Excellent analytical abilities to undertake root-cause analysis on complicated payment rejections and identify deviation trends across large billing datasets.
Practice Management (PM) systems and clearinghouses' billing software and analytics: practical experience extracting and assessing reporting modules

We invite you to apply and explore this exciting opportunity!
Warm Regards,
HR - Maria
88708 33430
infohrmaria04@gmail.com