AR Analyst

Human Xpert India; Chennai District; On-site; INR 600,000 - 900,000; Full time

Job summary

Human Xpert India is seeking an AR Analyst to manage outstanding insurance claims toward resolution through payer calls, portal research, and denial analysis.

You will reduce Days in AR, improve collections, and collaborate with coding, charge entry, and prior-authorization teams. Strong knowledge of denial codes, payer policies, and the appeals process is required; EPIC software knowledge is preferred.

Qualifications

• Experience with denial codes and the appeals process.
• Experience with payer calls and portal research.
• Ability to meet daily/weekly productivity targets.
• Maintain clear audit trails in billing systems.

Responsibilities

• Work assigned AR aging buckets (30/60/90/120+ days) via payer calls or portals to determine claim status.
• Analyze denial reason codes (CARC/RARC) and take corrective action (corrected claims, appeals, or reprocessing requests).
• Document call notes and actions clearly in the billing system to maintain a complete audit trail.
• Identify denial trends across authorization, eligibility, medical necessity, timely filing, and coding/bundling; escalate as needed.
• Prepare and submit appeals/reconsiderations with the required clinical and billing documentation.
• Meet daily and weekly productivity targets for claims worked and dollars collected.
• Coordinate with coding, charge entry, and prior-authorization teams to resolve recurring root causes.
• Provide clear status updates for client update calls and reports.

Skills

Analytical skills

Payer denial knowledge

Verbal communication

Payer portals familiarity

EPIC software knowledge

Tools

EPIC software

Availity portal

NaviNet

Job description

Job Summary

The AR Analyst is responsible for working outstanding insurance claims to resolution through payer calls, portal research, and root-cause denial analysis, directly driving down Days in AR and improving collection outcomes.

Key Responsibilities

• Work assigned AR aging buckets (30/60/90/120+ days) via payer calls or portals to determine claim status
• Analyze denial reason codes (CARC/RARC) and take corrective action corrected claims, appeals, or reprocessing requests
• Document call notes and actions clearly in the billing system to maintain a complete audit trail
• Identify denial trends — authorization, eligibility, medical necessity, timely filing, coding/bundling — and escalat…?
• Prepare and submit appeals/reconsiderations with the required clinical and billing documentation
• Meet daily and weekly productivity targets for claims worked and dollars collected
• Coordinate with coding, charge entry, and prior-authorization teams to resolve recurring root causes
• Provide clear status updates for client update calls and reports

Required Qualifications & Skills

• Strong knowledge of denial codes, payer policies, and the appeals process
• Excellent verbal communication for payer calls and strong analytical skills
• Familiarity with clearinghouses and payer portals (Availity, NaviNet, payer-specific portals)
• Willingness and ability to work US shift hours
  EPIC SOFTWARE KNOWLEDGE PREFFERED.