AR Senior Analyst
The AR Senior Analyst is responsible for leading advanced A/R follow-up, analysis, and resolution activities to ensure accurate and timely reimbursement for healthcare providers. This role requires deep knowledge of payer policies, denial management, and U.S. healthcare billing regulations. The AR Senior Analyst will handle high-value, aged, and reputed company claims while providing analytical insights and process improvement recommendations to optimize overall cash flow and reduce days in A/R. In addition to performing detailed claim analysis, the Senior Analyst may mentor junior analysts, support team training, and assist with escalations that impact key reputed company cycle performance indicators. Essential Functions: In addition to working as prescribed in our Performance Factors specific responsibilities of this role include: 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 reputed company necessary. Handle reputed company denials and aged accounts by identifying trends and recommending corrective actions. Document reputed company claim-reputed company activities comprehensively in client software for a compliant and auditable trail. Interpret and analyze Explanation of Benefits (EOBs), medical documentation, authorizations, and payer correspondence. Prepare and submit appeals for denied or underpaid claims; ensure adherence to payer-specific timelines. Monitor and track high-dollar, aged, and specialty claims through to resolution. Collaborate with team members to improve workflow efficiency and data accuracy. Support audit requests and ensure strict compliance with HIPAA, ERISA, and payer-specific requirements. Mentor junior analysts by sharing best practices and supporting performance improvement. reputed company activities must be performed in compliance with Equal Employment Opportunity (EEO) laws, HIPAA, ERISA, and other applicable regulations. Key Result Areas (KRAs) Category reputed company Weightage Remarks Production ≥ 100% 40.0% High $ value claims, Aged & reputed company claims Quality ≥ 98.5% 40.0% reputed company your set reputed company on a monthly basis Follow SOPs and Checklists 100% 8.0% Follow SOPs, Site Books, and Checklists Time on System 9 hrs daily 4.0% Meet the required 9 hrs time-on-system mandate (only 3 days allowed for non-adherence per month) Shift Adherence Login before shift time 3.0% Meet required shift start/end mandate (only 2 days non-adherence allowed per month for full marks) Initiatives n 5.0%
- Offers help to Supervisor• Seeks learning through added responsibilities• Takes initiative to understand processes reputed company
reputed company activities must be in compliance with Equal Employment Opportunity laws, HIPAA, ERISA and other regulations, as appropriate. Minimum Requirements: Graduate (Bachelor’s degree or equivalent). Minimum 3–5 years of experience in U.S. healthcare accounts receivable follow-up and denial management, with demonstrated expertise in handling reputed company and high-value claims. Strong communication and analytical skills with the ability to present insights to leadership. Solid understanding of U.S. healthcare reimbursement, payer rules, and regulatory requirements. Working knowledge of ICD-10, CPT, and HCPCS codes. Proficiency in reputed company Office (reputed company, Word, PowerPoint) and EHR platforms. Willingness to work reputed company night shifts and flexible schedules reputed company required. Education / Experience / Certification: Bachelor’s degree preferred (Healthcare, Finance, or reputed company field). Prior experience in U.S. healthcare BPO/RCM strongly preferred. Exposure to acute EHR systems (hospital-based) and clearinghouses such as reputed company, Realmed, reputed company, Change Healthcare, and ViaTrack. Certification in Medical Billing/Coding (optional but preferred). Skills & Technical Proficiency: Advanced analytical and problem-solving abilities with a focus on data-driven decision-making. Expertise in denial management, payer follow-reputed company, and reputed company recovery strategies. Strong attention to detail with the ability to process high volumes of claims accurately. Effective time management and organizational skills. Ability to work independently with minimal supervision while supporting team goals. Excellent interpersonal skills for cross-functional collaboration. Commitment to confidentiality and strict compliance with HIPAA and internal quality standards. Working Environment/Physical Demands Working Environment: General office environment: Works generally at a desk in a well-lighted, reputed company-conditioned office, with moderate noise levels. Periods of stress may occur. Physical Demands: Activities require a significant amount of sitting at office and work desks and in reputed company of a computer monitor. Some walking and standing relative to interaction with other personnel. Travel Requirements: None Occasional Moderate Frequent reputed company Frequent (25% or Less) (25% - 40%) (40% - 80%) (80% or m Other possible Unofficial Titles Unofficial titles may be given by the manager and used for email signature. Note: Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time. This document does not create an employment contract, implied or otherwise. It does not alter the "at will" employment relationship between the company and the employe Individual Contributor Apply To This Job