Accounts Receivable Analyst Perform pre-call analysis and check the status by calling the payer or using IVR or web portal services Maintain adequate documentation on the client software to send the necessary documentation to insurance companies and maintain a clear audit trail for future reference Record after-call actions and perform post-call analysis for the claim follow-up Provide accurate information to the insurance company research available documentation including authorization physician notes medical documentation on PM system interpret explanation of benefits received etc prior to making the call Perform analysis of accounts receivable data and understand the reasons for underpayment days in A R top denial reasons use appropriate codes to be used in documentation of the reasons for denials underpayments Comply with all reimbursement and billing procedures for regulatory third party and insurance compliance norms Responsible for meeting daily weekly productivity and quality reasonable work expectations Responsibilities Claim processing and submission Submit the claim to insurance companies to receive payment for services rendered by a healthcare provider Taking denial status from various insurance carriers Checking eligibility and verification of policy Analysis of the data Converting denials into payments Follow Health Insurance Portability and Accountability Act HIPAA Account follow up on fresh claims denials and appeals Checking the claim status as per their suspension and denials Achieving weekly monthly production and audit target Qualifications Requirements Any Graduate 2 Years of experience in accounts receivable follow-up denial management for US healthcare Good written and verbal communication skills Knowledge of medical terminology ICD10 CPT and HCPC coding Candidate should have experience in Hospital Billing Acute projects - Swing bed SNF nursing Rual Health and Acute care Candidate should have knowledge of UB04 - Hospital billing claims Basic working knowledge of computers Willingness to work continuously in night shifts Preferred Familiar with healthcare patient billing systems Practice management like NextGen eCW Carecloud Docutap Epic AdvancedMD etc Familiar with clearinghouse like Waystar Real med Availity change healthcare via track Proficiency with MS Excel MS Word google spreadsheet etc Other Skills and Abilities Ability to work independently with minimal supervision Positive analytical skills assertive in resolving unpaid claims Ability to multi-task and accurately process high volumes of work Strong organizational and time management skills Individual Contributor

📌 Accounts Receivable Analyst (India)
🏢 TruBridge
📍 India