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.

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.

📌 Accounts Receivable (AR) Analyst (Kochi)
🏢 Proficio Therapy Services
📍 Kochi