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
- High School (HSC) or graduate or equivalent with strong analytical skills.
- 1-3 Years of experience in accounts receivable follow-up/denial management for US healthcare.
- Positive written and verbal communication skills.
- Knowledge of medical terminology, ICD10, CPT, and HCPC coding.
- Basic working knowledge of computers.
- Willingness

📌 Accounts Receivable Analyst (Chennai)
🏢 TruBridge
📍 Chennai