As an Accounts Receivable Analyst, you will deliver back-end revenue cycle management services for a healthcare provider client, including billing and claims submission, A/R follow-up, denials management, payment posting, and credits and refunds.
You will review aging reports and work queues to identify unpaid or delayed claims, follow up with commercial and government payers, analyze remittance advice and EOBs, document claim status details, and resolve issues related to eligibility, authorizations, claim edits, coordination of benefits, and missing documentation.
The role also involves rebilling corrected claims, routing issues to the appropriate teams, reviewing payments and contractual adjustments, and working within Epic Resolute Hospital Billing, claims clearinghouse tools, payer portals, and related systems. You will be expected to meet productivity and quality standards, support team members on complex claims, and assist with performance reporting.
Required
- 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 functional area
- Experience working to high productivity and quality standards
- Experience working in claims clearinghouse systems
- Familiarity with Epic Analytics and Reporting applications
- Experience using Epic Resolute Hospital Billing
- Ability to travel 10% on average
Preferred
- Experience using Microsoft Word, Excel, and PowerPoint
- Experience supporting clinical or healthcare business operations
- Experience managing multiple projects or workstreams
- Experience preparing and delivering technical demonstrations
- Experience analyzing billing workflows, claim issues, or operational data
Location
San Jose, California, US
Employment Type
Full-time
Experience Level
Associate
Salary Range
$53,000 - $62,700
Remote work allowed
Yes
Posted
1 week ago