Healthcare Revenue Cycle Analyst Apply Today Job Description Duties/: AR Ageing & Financial Trend Analysis/: Identify the underlying causes of ageing spikes and develop focused liquidation strategies for outstanding claim balances by doing in/-depth statistical analysis on accounts receivable ageing portfolios. Systemic Denial Root Cause Analysis/: To establish long/-term root/-cause prevention procedures, compile and examine claim denial data /(CARC/RARC codes, EOBs/ERAs/), classifying rejection drivers across registration, credentialing, coding, and medical necessity. Payer Reimbursement & Contract Auditing/: To find underpayments, incorrect downcoding, or unlawful claim reductions, track and audit commercial /(BCBS, UHC, Aetna, Cigna/) and government /(Medicare, Medicaid/) payer payment trends against contracted fee schedules. Workflow Optimisation & AR Caller Strategy/: Assign AR Callers prioritised claim inventory worklists in collaboration with AR supervisors to maximise team emphasis on high/-value,



high/-probability recovery claims that are getting close to timely filing deadlines. Focus Skills/: Advanced RCM Analytics & AR Management Mastery/: In/-depth knowledge of HIPAA rules, financial KPI reporting /(Days in AR, NCR, CCR, First/-Pass Resolution/), and strategic proficiency in US healthcare accounts receivable management. Complex Denial & CARC/RARC Categorisation/: Outstanding capacity to map Claim Adjustment Reason Codes /(CARC/) and Remittance Advice Remark Codes /(RARC/), analyse large EOB/ERA dataset exports, and create cross/-departmental preventive action plans. Comprehensive understanding of CPT, ICD/-10, HCPCS codes, CCI edits, modifier usage, CMS/-1500/UB/-04 formats, and commercial/government medical coverage policies /(LCDs/NCDs/) is required for payer guidelines and coding literacy. Billing Software & Data Mining Capabilities/: Advanced data manipulation capabilities employing clearinghouse analytics portals /(Availity, Optum, Change Healthca

📌 Healthcare Revenue Cycle Analyst Apply Today (Chennai)
🏢 GS Infotech
📍 Chennai