Get Your AR Analyst Journey Begin

Get Your AR Analyst Journey Begin Job Description Duties: AR Portfolio Analysis & Trend Identification: To find cash flow bottlenecks and underperforming payer categories, conduct in-depth financial and operational analytics on ageing AR portfolios across several specialities and provider accounts. Denial Root-Cause Analysis & Action Plan Design: Classify denials and rejections of claims pinpoint coding problems, clinical documentation, or front-end registration and create remedial workflows to stop repeated denials. Payer Reimbursement & Contractual Yield Auditing: Examine payer remittance data to confirm contractual fee schedules, spot underpayments, track timely filing compliance windows for both government and commercial payers, and monitor payer processing turnaround times. High-Value Claim Resolution & Complex Appeals Strategy: Take direct responsibility for complicated, expensive, or extremely old claims create sophisticated clinical and legal appeal paperwork and work with payer provider relations managers to unlock revenue that is trapped. Team Guidance & Workflow Optimisation: To increase team efficiency and collection speed, give AR Callers and Billing Executives meaningful data insights, prioritised call lists, and focused resolution tactics. Focus Skills: US Healthcare RCM & Advanced Financial Analytics Mastery: In-depth knowledge of US medical billing procedures, payer fee schedules, complicated AR portfolio optimisation, end-to-end revenue cycle analytics, and claims adjudication standards. Practice Management Software & Clearinghouse Proficiency: The capacity to extract data, create reports, and audit records in PM systems and clearinghouses. Expertise in Denial Management, CARC/RARC, and Coding Analytics: proficient in reading EOBs and ERAs, deciphering intricate CARC/RARC combinations, comprehending CPT, ICD-10, HCPCS, and CCI edit links, and organising strong appeal arguments. Strategic Problem-Solving and Data Synthesis Capability: Outstanding analytical skills to spot microtrends in payer behaviour, synthesise multi-dimensional billing information, and transform complex raw data into practical operational solutions. Apply now to become an integral part of our growing team With Regards, HR - Maria