Accounts Receivable Analyst

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.

Key responsibilities include:

• Review A/R aging reports and work queues to identify unpaid and delayed claims.
• Follow up with commercial and government payers on outstanding balances and claim status.
• Analyze remittance advice and explanation of benefits (EOBs) to determine root causes of non-payment.
• Document claim status details and payer-provided information.
• 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, and clinical teams as needed.
• Review payments, contractual adjustments, denials, and patient responsibility balances to validate accurate account resolution.
• Work within Epic Resolute Hospital Billing, claims clearinghouse systems, payer portals, and related workflow tools.
• Meet productivity and quality standards and support performance reporting and complex claim resolution.