Accounts Receivable Analyst

Core responsibilities

• Review AR aging reports and work queues to identify unpaid and delayed claims.
• Follow up with commercial and government payers to determine claim status and payer requirements.
• Analyze remittance advice and explanation of benefits (EOBs) to identify root causes of non-payment.
• Document claim status details and payer communications.
• Resolve issues related to eligibility, authorizations, claim edits, coordination of benefits, and missing documentation.
• Rebill corrected claims and route issues to coding, billing, credentialing, denials, or clinical teams as needed.
• Review payments, contractual adjustments, denials, and patient responsibility balances.
• Work within SOPs and workflows using Epic Resolute Hospital Billing, claims clearinghouse systems, payer websites, and portals.
• Meet productivity and quality standards and support team members with complex claims.
• Assist engagement management with performance reporting.

Qualifications

• Bachelor’s degree in information technology, business, healthcare, or a related field, or equivalent experience.
• 2+ years of experience in hospital accounts receivable follow-up operations or a related revenue cycle function.
• Experience with claims clearinghouse systems.
• Experience using Epic Resolute Hospital Billing.
• Familiarity with Epic Analytics and Reporting applications.
• Ability to travel 10% on average.
• Strong communication, attention to detail, teamwork, and time management skills.
• Ability to manage multiple tasks in a fast-paced environment and provide guidance to others.

Preferred experience

• Microsoft Word, Excel, and PowerPoint.
• Clinical or healthcare business operations support.
• Managing multiple projects or workstreams.
• Preparing and delivering technical demonstrations.
• Analyzing billing workflows, claim issues, or operational data.