AR Senior Analyst
Core
Leading advanced accounts receivable follow-up, analysis, and resolution to ensure accurate and timely reimbursement for healthcare providers.
Role type
Senior Individual Contributor Healthcare Accounts Receivable Analyst
Builds
Optimized cash flow and reduced days in A/R for healthcare providers
Domain
U.S. Healthcare Revenue Cycle Management
Deliverable
production ML models | product features | dashboards & analysis | client delivery | infrastructure | physical/clinical work
Required skills
denial management, payer policy knowledge, U.S. healthcare billing regulations, complex claim analysis, root cause analysis, appeals preparation, HIPAA/ERISA compliance, ICD-10/CPT/HCPCS code interpretation, EHR platform proficiency
Preferred skills
Medical Billing/Coding certification, acute EHR system experience, clearinghouse platform experience (Waystar, Realmed, Availity, Change Healthcare, ViaTrack), prior U.S. healthcare BPO/RCM experience
Technologies
Microsoft Office (Excel, Word, PowerPoint), EHR platforms, clearinghouse systems (Waystar, Realmed, Availity, Change Healthcare, ViaTrack)
Responsibilities
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; Handle complex denials and aged accounts by identifying trends and recommending corrective actions; Document all claim-related activities comprehensively in client software; Interpret and analyze Explanation of Benefits (EOBs), medical documentation, authorizations, and payer correspondence; Prepare and submit appeals for denied or underpaid claims; Mentor junior analysts by sharing best practices and supporting performance improvement
Seniority
Senior, hands-on IC