Accounts Receivables Specialist

Job Description – AR Analyst / Senior AR Analyst

Department: Revenue Cycle Management (RCM) Location: Eastwood City Libis

Role Overview

The AR Analyst / Senior AR Analyst is responsible for managing accounts receivable, ensuring timely follow-ups on outstanding claims, resolving denials, and maximizing collections from insurance payers. The role involves handling both routine and complex AR scenarios, with senior-level expectations including denial analysis, escalations, and mentoring support.

Key Responsibilities

AR Follow-up & Collections

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Follow up with payers via calls, emails, fax, and portals to resolve outstanding claims.

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Work and prioritize accounts based on value, TAT, and payer guidelines.

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Ensure timely resolution of unpaid, denied, or partially paid claims .

Denial Management & Issue Resolution

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Analyze and resolve denials, rejections, underpayments, and overpayments .

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Initiate and manage appeals with proper documentation and supporting information .

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Identify and correct medical billing errors impacting claim payment.

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Handle complex denial scenarios and escalations .

Analysis & Process Improvement

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Perform analysis to identify trends in denials and payment delays .

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Conduct root cause analysis (RCA) for recurring issues.

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Recommend and support process improvements to reduce denials and increase collections .

System Utilization & Documentation

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Use workflow systems, client systems, and payer portals to manage accounts.

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Maintain accurate and complete documentation of all follow-ups and actions .

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Work independently on assigned work queues and ensure completion within TAT.

Compliance & Guidelines

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Adhere to payer guidelines, timely filing limits, and billing protocols .

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Ensure compliance with HIPAA and Information Security policies .

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Protect and use PHI appropriately , limiting access to minimum necessary.

Team Support & Collaboration (Senior Level)

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Provide guidance and support to junior team members.

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Collaborate with coding, billing, and quality teams for issue resolution.

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Communicate trends, risks, and escalations to management and stakeholders.

Additional Responsibilities

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Assist with special AR projects, reporting, and process initiatives .

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Maintain professionalism in interactions with patients, clients, and internal teams .

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Perform other duties as assigned by management.

Required Skills

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Strong knowledge of US Healthcare RCM (AR, denials, billing workflows)

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Understanding of EOB/ERA, CPT/ICD basics, and payer guidelines

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Analytical and problem-solving ability

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Effective communication and payer handling skills

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Ability to work independently and manage workload

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Strong expertise in denial management and complex AR scenarios