Accounts Receivable Analyst - Hospital Billing

CPSI; Chennai District; On-site; INR 350,000 - 600,000; Full time

Job summary

CPSI is seeking an Accounts Receivable Analyst in Chennai to handle end-to-end claim processing, denials management, and AR analytics for US healthcare clients. The role requires night shifts and diligent documentation to ensure prompt payments and regulatory compliance.

The candidate should be a graduate with strong analytical skills, good written and verbal communication, and exposure to medical terminology and coding. Familiarity with healthcare billing systems and MS Excel is a plus.

Qualifications

• 1+ year of experience in accounts receivable follow-up/denial management for US healthcare.
• Strong analytical and communication skills.
• Knowledge of ICD10, CPT, and HCPCS coding.
• Basic computer operating knowledge.
• Willingness to work night shifts.

Responsibilities

• Process and submit claims to insurance companies for services rendered.
• Take denial status from various insurance carriers.
• Check eligibility and policy verification.
• Analyze data and convert denials into payments.
• Adhere to HIPAA and billing compliance standards.
• Follow up on fresh claims, denials, and appeals.
• Meet weekly/monthly production and audit targets.
• Maintain audit trail and document pre/post-call actions.

Skills

Analytical skills

Communication skills

Night shift willingness

Independent work

Multi-tasking

Education

Graduate or equivalent

Tools

MS Excel

MS Word

Google Sheets

NextGen

eCW

CareCloud

Docutap

Waystar

Availity

Change Healthcare

ViaTrack

Job description

Accounts Receivable Analyst

• Perform pre-call analysis and check the status by calling the payer or using IVR or web portal services.
• Maintain adequate documentation on the client software to send the necessary documentation to insurance companies and maintain a clear audit trail for future reference.
• Record after-call actions and perform post-call analysis for the claim follow-up.
• Provide accurate information to the insurance company, research available documentation including authorization, physician notes, medical documentation on PM system, interpret explanation of benefits received, etc. prior to making the call.
• Perform analysis of accounts receivable data and understand the reasons for underpayment, days in A/R, top denial reasons, use appropriate codes to be used in documentation of the reasons for denials/underpayments.
• Comply with all reimbursement and billing procedures for regulatory, third party, and insurance compliance norms.
• Responsible for meeting daily/weekly productivity and quality reasonable work expectations.

Responsibilities

• Claim processing and submission.
• Submit the claim to insurance companies to receive payment for services rendered by a healthcare provider.
• Taking denial status from various insurance carriers
• Checking eligibility and verification of policy
• Analysis of the data
• Converting denials into payments
• Follow Health Insurance Portability and Accountability Act (HIPAA)
• Account follow up on fresh claims, denials, and appeals.
• Checking the claim status as per their suspension and denials
• Achieving weekly/monthly production and audit target

Qualifications/Requirements

• Any Graduate or equivalent with strong analytical skills.
• 1+ Years of experience in accounts receivable follow-up/denial management for US healthcare.
• Good written and verbal communication skills.
• Knowledge of medical terminology, ICD10, CPT, and HCPC coding.
• Basic working knowledge of computers.
• Willingness to work continuously in night shifts.

Preferred

• Familiar with healthcare patient billing systems (Practice management) like NextGen, eCW, Carecloud, Docutap.
• Familiar with clearinghouse like Waystar, Realmed Availity, change healthcare, via track.
• Proficiency with MS Excel, MS Word, google spreadsheet, etc.

Other Skills and Abilities

• Ability to work independently with minimal supervision.
• Good analytical skills, assertive in resolving unpaid claims.
• Ability to multi-task and accurately process high volumes of work.
• Strong organizational and time management skills

Individual Contributor