Job Title: Accounts Receivable (AR) Analyst

Location: Kochi / Thane, India (Hybrid/Work from Office as applicable)

Experience:

Minimum 4 years of relevant experience in Accounts Receivable, preferably in US Healthcare Revenue Cycle Management (RCM).

Job Summary

We are seeking a detail-oriented and analytical Accounts Receivable (AR) Analyst to join our Revenue Cycle Management team. The ideal candidate will have hands-on experience managing insurance and patient receivables, resolving denied claims, following up with insurance payers, and driving timely collections. The candidate should possess robust analytical skills, excellent communication abilities, and a thorough understanding of the US healthcare billing and reimbursement process.

Key Responsibilities

- Manage assigned AR portfolios to ensure timely reimbursement and achieve collection targets.
- Analyze aging reports and prioritize accounts requiring immediate attention.
- Follow up with commercial insurance companies, Medicare, Medicaid, and Managed Care payers regarding unpaid or underpaid claims.
- Investigate claim denials, identify root causes, and initiate corrective actions.
- Prepare and submit appeals with appropriate supporting documentation.
- Resolve claim rejections related to eligibility, authorization, coding, timely filing, coordination of benefits (COB), and medical necessity.
- Process adjustments, write-offs, refunds, and payment postings when required and in accordance with company policies.
- Collaborate with Billing, Credentialing, Authorization, and Clinical teams to resolve outstanding issues affecting reimbursement.
- Monitor payer trends and recommend process improvements to reduce AR aging and denials.
- Maintain accurate documentation of account activities in the billing system.
- Meet established productivity, quality, and collection KPIs.
- Ensure compliance with HIPAA and all applicable healthcare regulations.
- Prepare daily, weekly, and monthly reports on AR performance and collections.

Required Qualifications





- Bachelors degree in Commerce, Finance, Business Administration, or a related discipline.
- Minimum 4 years of experience in Accounts Receivable within US Healthcare RCM.
- Strong understanding of:
- Medical billing and claims lifecycle
- EOBs and ERAs
- CPT, ICD-10, and HCPCS codes
- Insurance verification and payer guidelines
- Medicare, Medicaid, and commercial insurance processes
- Experience handling denial management and appeals.
- Excellent analytical and problem-solving skills.
- Strong verbal and written communication skills.
- Proficiency in Microsoft Excel and reporting tools.
- Ability to work independently while managing multiple priorities.

Preferred Qualifications

- Experience with ABA, Speech Therapy, Occupational Therapy, or Pediatric healthcare billing.
- Exposure to EMR/EHR and practice management systems such as Ensora, CentralReach, Office Ally, Kareo, or similar platforms.
- Knowledge of credentialing and authorization workflows.
- Experience working with California Medicaid (Medi-Cal) and commercial payers is an added advantage.

Key Competencies

- Analytical thinking
- Attention to detail
- Problem-solving
- Time management
- Strong communication skills
- Accountability and ownership
- Process improvement mindset
- Team collaboration

Key Performance Indicators (KPIs)

- AR aging maintained within organizational targets.
- Monthly collection targets achieved.
- Reduction in accounts aged over 90 and 120 days.
- Denial resolution turnaround time.
- Appeal success rate.
- Productivity targets (accounts worked, calls made, claims resolved).
- Quality and accuracy of account documentation.
- Compliance with company policies and HIPAA requirements.

What We Offer

- Opportunity to work with a growing US healthcare organization.
- Professional growth and career advancement.
- Collaborative and performance-driven work environment.
- Continuous learning and development opportunities.
- Competitive compensation and performance-based incentives.

Compensation

- Fixed compensation 40-45k per month
- Annual performance-based bonus
- Medical insurance

📌 Accounts Receivable (AR) Analyst (Kochi)
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