Role Description
The AR Analyst will be responsible for managing Accounts Receivable claims, ensuring timely follow-up and resolution. The role involves calling insurance companies to obtain claim status, reviewing outcomes, taking corrective actions, and escalating issues where necessary. The analyst should also be proficient in using web portals for claim status verification, handling denials, and initiating appeals with proper documentation.
Key Responsibilities
- Make outbound calls to insurance companies to obtain claim status when required.
- Review calling outcomes and take necessary follow-up actions based on comments.
- Utilize insurance web portals to check claim status, minimizing the need for calls.
- Review and analyze denied claims; initiate appeals with accurate comments and supporting documents.
- Prioritize and follow up on long-pending claims, escalating to team leads when assistance is required.
- Review and interpret correspondence and denial letters received from insurance companies.
- Ensure accuracy, compliance, and timely resolution of claims within set timelines.
Required Skills & Competencies
- Strong verbal and written communication skills.
- Good analytical and reviewing skills for AR claims.
- Ability to interpret insurance correspondence and denial letters.
- Proficiency in working with claim processing systems and insurance web portals.
- Strong follow-up and prioritization skills.
Additional Requirements
- Awareness of ISMS and HIPAA compliance standards.
- Detail-oriented with a focus on accuracy and process compliance.
- Team player with the ability to escalate issues appropriately.
