AR Analyst

AuraRCM & Consulting Inc.; Chennai District; On-site; INR 350,000 - 520,000; Full time

Job summary

AuraRCM & Consulting Inc. in Chennai is seeking an AR Specialist to analyze aging reports, prioritize high-value and long-pending claims, and investigate denials or underpayments to identify root causes. You will collaborate with AR callers to plan follow-ups and execute corrections to expedite payments.

The role emphasizes accurate documentation, adherence to billing compliance, awareness of payer policies, and contributing to denial management and A/R process improvements.

Responsibilities

• Analyze and prioritize patient and insurance aging reports to pinpoint high-value and long-pending outstanding claims.
• Investigate and diagnose claim issues including denials, rejections, underpayments, and complex unpaid balances to determine the precise root cause.
• Develop and articulate clear, actionable follow-up plans and work closely with AR callers to ensure efficient resolution.
• Execute corrections, billing adjustments, or re submissions to expedite payment.
• Collaborate effectively with internal teams to resolve missing documentation, coding errors, or billing discrepancies.
• Ensure all actions, findings, and resolutions are accurately and compliantly documented in the billing system.
• Continuously review and apply payer policies, fee schedules, and guideline updates to minimize future payment variance.
• Consistently meet daily/weekly targets related to quality, productivity, and turnaround time (TAT).
• Support denial management by contributing to trending analysis and reporting to drive process improvement and enhance overall A/R performance.

Job description

• Analyze and Prioritize: Critically review patient and insurance aging reports to pinpoint and prioritize high-value and long-pending outstanding claims.
• Investigate and Diagnose: Thoroughly investigate claim issues including denials, rejections, underpayments, and complex unpaid balances to determine the precise root cause.
• Action Planning: Develop and articulate clear, actionable follow-up plans and work closely with AR callers to ensure efficient resolution.
• Execute Corrections: Initiate required claim corrections, billing adjustments, or re submissions to expedite payment.
• Inter-Departmental Communication: Collaborate effectively with internal teams to resolve missing documentation, coding errors, or billing discrepancies.
• Documentation and Compliance: Ensure all actions, findings, and resolutions are accurately and compliantly documented in the billing system.
• Policy Monitoring: Continuously review and apply payer policies, fee schedules, and guideline updates to minimize future payment variance.
• Performance Metrics: Consistently meet daily/weekly targets related to quality, productivity, and turnaround time (TAT).
• Strategic Reporting: Support denial management by contributing to trending analysis and reporting to drive process improvement and enhance overall A/R performance.