AR Senior Analyst
Core
Leading advanced accounts receivable follow-up, analysis, and resolution to ensure timely reimbursement for healthcare providers by managing high-value, aged, and complex claims.
Role type
Senior Individual Contributor Healthcare Revenue Cycle Analyst
Builds
Accurate and timely reimbursement 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
U.S. healthcare billing regulations, payer policy knowledge, denial management, complex claim analysis, appeals preparation, ICD-10/CPT/HCPCS codes, EHR platforms, Microsoft Office
Preferred skills
Medical Billing/Coding certification, acute EHR systems experience, clearinghouse experience (Waystar, Realmed, Availity, Change Healthcare, ViaTrack), U.S. healthcare BPO/RCM experience
Technologies
EHR platforms, clearinghouses (Waystar, Realmed, Availity, Change Healthcare, ViaTrack), Microsoft Office (Excel, Word, PowerPoint)
Responsibilities
Conduct pre-call analysis to determine root causes of unpaid claims; Contact payers via calls, IVRs, or web portals for claim resolution; Handle complex denials and aged accounts by identifying trends; Document claim-related activities in client software; Interpret Explanation of Benefits (EOBs) and medical documentation; Prepare and submit appeals for denied claims; Monitor high-dollar, aged, and specialty claims to resolution; Mentor junior analysts on best practices.
Seniority
Senior, hands-on IC