The AR Analyst is responsible for the timely follow-up and resolution of insurance claims to ensure accurate and effective reimbursement for healthcare providers. This role involves analyzing A/R data, performing claim status checks, handling denials, and maintaining compliance with U.S. healthcare billing and regulatory requirements. The A/R Analyst plays a critical role in optimizing cash flow, reducing days in A/R, and supporting overall revenue cycle performance.

Essential Functions: In addition to working as prescribed in our Performance Factors specific responsibilities of this role include:
• Perform pre-call analysis and check claim status via payer calls, IVR, or payer web portals.
• Document all claim activities in client software, ensuring a clear and compliant audit trail.
• Conduct post-call analysis and record after-call actions for claims follow-up.
• Review and interpret Explanation of Benefits (EOBs), authorizations, medical documentation, and physician notes prior to contacting payers.
• Analyze A/R data to identify underpayments, denials,



and root causes; document with appropriate denial/adjustment codes.
• Ensure compliance with all reimbursement, billing, and regulatory requirements (including HIPAA).
• Convert denials into payments by filing appeals or correcting claim errors.
• Perform eligibility checks, claim submission, and resubmission as required.
• Monitor fresh claims, denials, suspensions, and appeals to ensure timely resolution.
• Meet or exceed daily/weekly productivity and quality targets.

All activities must be in compliance with Equal Employment Opportunity laws, HIPAA, ERISA, and other applicable regulations.

Key Result Areas (KRAs)
Category
Target
Weightage
Remarks
Production
≥ 100%
40%
Regular claims and denials
Quality
≥ 98.5%
40%
Achieve your set target on a monthly basis
Follow SOPs and Checklists
≥ 95%
10%
Follow SOPs, Site Books, and Checklists
Time on System
9 hrs daily
4%
Meet required 9 hrs time-on-system mandate (on

📌 AR Analyst (Chennai)
🏢 CPSI
📍 Chennai