RCM AR Analyst
Core
Managing assigned denied and Accounts Receivable (AR) claims to ensure timely resolution and meet productivity/quality benchmarks.
Role type
Associate RCM AR Analyst
Builds
Resolved insurance claims for healthcare providers
Domain
Healthcare Revenue Cycle Management
Required skills
US Healthcare RCM experience, AR calling, Federal and Commercial insurance payer handling, billing scrubbers knowledge, clearing house knowledge, payer rejection analysis, AR scenario management, report generation, trend identification, root cause analysis
Preferred skills
Strong multitasking, detailed call note taking, stakeholder collaboration
Technologies
Billing scrubbers, clearing house, internal claim management tools
Responsibilities
Resolve assigned denied and AR follow-up claims in coordination with the Team Manager; Ensure claims are completed within defined productivity and quality targets; Adhere strictly to SOPs and internal tools; Prioritize work orders using strategies such as high aging claims, high-dollar claims, and payer-wise prioritization; Run reports to perform deep-dive analysis and identify bulk claim issues; Identify trends and root causes to reduce denials and prevent avoidable rework.
