Accounts Receivable Analyst - Hospital Billing

Trubridge; Chennai District; On-site; INR 350,000 - 550,000; Full time

Job summary

Trubridge is seeking an Accounts Receivable Analyst to perform pre-call analysis, bill auditing, and denial management for US healthcare providers. You will verify eligibility, submit claims, and follow up on denials.

The role requires strong analytical skills, good communication, and willingness to work night shifts. Proficiency with MS Excel and healthcare vocab is preferred.

You will maintain audit trails and ensure HIPAA compliance while contributing to daily productivity and quality targets.

Qualifications

• Graduate with strong analytical skills.
• 1+ year 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 night shifts.

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 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.

Skills

Analytical skills

Communication

Education

Any Graduate or equivalent

Tools

MS Excel

MS Word

Google Sheets

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