Senior Analyst - Accounts Receivable

Thryve Digital Health LLP

Chennai

On-site

INR 600,000 - 800,000

Full time

14 days+

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Job summary

A healthcare services company in Chennai is seeking a Senior AR Collections Agent responsible for the timely collection of outstanding accounts receivable. The ideal candidate will have a strong background in medical billing, experience in resolving complex cases, and the ability to mentor junior agents. This full-time role involves close collaboration with insurance companies and requires excellent analytical and communication skills.

Qualifications

5-7 years of experience in Physician Billing/Hospital billing RCM AR collections.
Proven track record of successfully collecting outstanding AR.
In-depth knowledge of revenue cycle management.

Responsibilities

Manage and resolve complex AR claims.
Negotiate payment plans with patients.
Prepare reports on AR status and collection rates.

Skills

Medical billing knowledge

Analytical skills

Problem-solving abilities

Communication skills

Organizational skills

Education

Undergraduate degree or equivalent

Associate's or Bachelor's degree in related field

Tools

EPIC

Cerner

Microsoft Office Suite

Job description

The Senior AR Collections Agent is responsible for the timely and effective collection of outstanding accounts receivable (AR) for healthcare services. This role involves in-depth knowledge of medical billing, coding, payer regulations, and collection techniques. The Senior Agent handles complex cases, provides guidance to junior team members, and plays a key role in improving the overall collection process.

Key Responsibilities:

Collections Activities:

Manage and resolve complex and high-dollar AR claims.
Investigate and analyze aged AR to determine appropriate collection strategies.
Contact insurance companies, patients, and other responsible parties to pursue payment.
Document all collection activities accurately and thoroughly in the billing system.
Review and interpret Explanation of Benefits (EOBs) to identify discrepancies and denials.
Appeal denied claims and follow up on pending appeals.
Negotiate payment plans with patients according to established guidelines.
Identify and escalate problematic accounts to management for further action.
Understanding of HIPAA regulations and ensure compliance in all activities.
Stay current on changes in payer regulations, coding guidelines, and billing requirements.

Problem Solving and Analysis:

Identify trends in denials and payment issues and propose solutions to prevent recurrence.
Work with other departments (e.g., billing, coding, registration) to resolve billing errors and process issues.
Research and resolve complex billing inquiries from patients and insurance companies.

Mentorship and Training:

Serve as a mentor and resource for junior AR Collections Agents.
Assist in training new team members on collection procedures and systems.
Provide guidance on handling difficult or complex accounts.

Reporting and Process Improvement:

Prepare regular reports on AR status, collection rates, and key performance indicators (KPIs).
Identify opportunities to improve collection processes and increase efficiency.
Participate in team meetings and contribute to process improvement initiatives.
Utilize billing software and other relevant systems to manage accounts and track collection activities (e.g., EPIC, Cerner, etc.).
Maintain accurate and up-to-date information in the billing system.

Qualifications, Experience & Skills:

Undergraduate degree or equivalent required; Associate's or Bachelor's degree in a related field preferred.
Minimum of 5-7 years of experience in Phycian Billing/Hospital billing RCM AR collections.
Proven track record of successfully collecting outstanding AR.
Experience working with various insurance payers (e.g., Medicare, Medicaid, Commercial).
In-depth knowledge of revenue cycle management
Strong understanding of payer regulations and reimbursement processes.
Excellent communication and interpersonal skills.
Strong analytical and problem-solving abilities.
Proficiency in using billing software and Microsoft Office Suite.
Ability to work independently and as part of a team.
Excellent organizational and time-management skills.
Ability to handle a high volume of accounts and meet deadlines.

Preferred Qualifications: