Accounts Receivable Analyst

As an experienced Accounts Receivable Analyst, you will support back-end revenue cycle management services for a healthcare provider client. This role focuses on billing and claims submission, A/R follow-up, denials management, payment posting, and credits and refunds. You will work within Epic Resolute Hospital Billing and related claims and reporting systems while collaborating with internal teams and client stakeholders.

Key responsibilities include:

• Reviewing AR aging reports and work queues to identify unpaid and delayed claims
• Following up with commercial and government payers regarding outstanding balances and claim status
• Analyzing claim status, remittance advice, and EOBs to determine root causes of non-payment
• Documenting claim status details and payer-provided information
• Resolving issues related to eligibility, authorizations, claim edits, coordination of benefits, and missing documentation
• Rebilling corrected claims and routing issues to coding, billing, credentialing, denials, and clinical teams as needed
• Reviewing payments, contractual adjustments, denials, and patient responsibility balances to validate account resolution
• Working within defined SOPs and workflows using Epic Resolute Hospital Billing, claims clearinghouse tools, payer portals, and reporting systems
• Supporting team members with complex claims and assisting engagement management with performance reporting