The AR Senior Analyst is responsible for leading advanced A/R follow-up,
analysis, and resolution activities to ensure accurate and timely reimbursement
for healthcare providers. This role requires deep knowledge of payer policies,
denial management, and U.S. healthcare billing regulations. The AR Senior
Analyst will handle high-value, aged, and complex claims while providing
analytical insights and process improvement recommendations to optimize overall
cash flow and reduce days in A/R.
In addition to performing detailed claim analysis, the Senior Analyst may mentor
junior analysts, support team training, and assist with escalations that impact
key revenue cycle performance indicators.
Essential Functions: In addition to working as prescribed in our Performance
Factors specific responsibilities of this role include:
* Conduct in-depth pre-call analysis to determine root causes of unpaid or
underpaid claims.
* Contact payers through calls, IVRs, or web portals for claim status,
resolution, and escalation when necessary.
* Handle complex denials and aged accounts by identifying trends and
recommending corrective actions.
* Document all claim-related activities comprehensively in client software for
a compliant and auditable trail.
* Interpret and analyze Explanation of Advantages (EOBs), medical documentation,
authorizations, and payer correspondence.
* Prepare and submit appeals for denied or underpaid claims; ensure adherence
to payer-specific timelines.
* Monitor and track high-dollar, aged, and specialty claims through to
resolution.
* Collaborate with team members to improve workflow efficiency and data
accuracy.
* Support audit requests and ensure strict compliance with HIPAA, ERISA, and
payer-specific requirements.
* Mentor junior analysts by sharing best practices and supporting performance
improvement.
All activities must be performed in compliance with Equal Employment Opportunity
(EEO) laws, HIPAA, ERISA, and other applicable regulations.
Key Result Are
📌 AR Senior Analyst (Chennai)
🏢 CPSI
📍 Chennai
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