Role & responsibilities

- Follow up on outstanding insurance claims and unpaid accounts.
- Review and analyze Accounts Receivable (AR) aging reports.
- Identify and resolve claim denials, rejections, and underpayments.
- Contact insurance companies through calls, emails, and payer portals to obtain claim status.
- Investigate reasons for delayed or denied payments and take corrective actions.
- Process claim corrections, rebilling, and resubmissions as required.
- Prepare and submit appeals for denied claims.
- Ensure timely collection of outstanding balances to reduce AR days.
- Review Explanation of Perks (EOB) and Electronic Remittance Advice (ERA) for payment discrepancies.
- Maintain accurate documentation of follow-up activities and account notes.
- Escalate complex issues to supervisors or clients when necessary.
- Coordinate with coding, billing, and payment posting teams to resolve claim issues.
- Meet daily productivity, quality, and collection targets.
- Generate reports and provide updates on AR performance and collections.




- Stay updated on Medicare, Medicaid, and Commercial Insurance guidelines and payer policies.
- Ensure compliance with HIPAA and company policies.

Key Performance Indicators (KPIs)

- AR Days Reduction
- Collection Percentage
- Denial Resolution Rate
- Productivity (Accounts Worked per Day)
- Quality and Accuracy Score
- Aging Bucket Management (30/60/90/120+ Days)

Required Skills

- Knowledge of RCM (Revenue Cycle Management) and Medical Billing.
- Strong analytical and problem-solving skills.
- Excellent communication and negotiation skills.
- Proficiency in MS Excel and billing software.
- Knowledge of CPT, ICD-10, and HCPCS coding concepts.
- Attention to detail and time management skills.

Preferred Qualifications

- Experience: 1 - 3 years in Healthcare AR/Medical Billing.
- Education: Any graduate, diploma
- Good knowledge of US Healthcare and Medical Billing processes.

📌 AR Analyst (Tirunelveli)
🏢 E Care India
📍 Tirunelveli