Agent
Jobs
Applied
Tracker
Profile
    1. Jobs for you
    2. Job

    Job · 21686328

    CHENNAI · FULLTIME

    AR Analyst

    TruBridge Healthcare Private Limited

    TruBridge Healthcare Private Limited

    Chennai · onsite · Posted 1d ago

    Sourced fromNaukri
    Undisclosed2–7 yrsfulltimeChennai

    About a minute. You'll make an account on the way through.

    agent · working

    • Read this posting0.2s
    • Found the form on Naukri · 9 questions to answer1.8s
    • Decided the answers for all of them2.5s
    • Tailor your résumé to this role
    • Waiting for you

    Section · 01

    About this role

    Job Summary
    The AR Analyst is responsible for the timely follow-up and resolution of insurance claims to ensure accurate and efficient reimbursement for healthcare providers. This role involves analyzing A/R data, performing claim status checks, handling denials, and maintaining compliance with U.S. healthcare billing and regulatory requirements. The A/R Analyst plays a critical role in optimizing cash flow, reducing days in A/R, and supporting overall revenue cycle performance.


    Responsibilities
    Essential Functions: In addition to working as prescribed in our Performance Factors specific responsibilities of this role include:
    • Perform pre-call analysis and check claim status via payer calls, IVR, or payer web portals.
    • Document all claim activities in client software, ensuring a clear and compliant audit trail.
    • Conduct post-call analysis and record after-call actions for claims follow-up.
    • Review and interpret Explanation of Benefits (EOBs), authorizations, medical documentation, and physician notes prior to contacting payers.
    • Analyze A/R data to identify underpayments, denials, and root causes; document with appropriate denial/adjustment codes.
    • Ensure compliance with all reimbursement, billing, and regulatory requirements (including HIPAA).
    • Convert denials into payments by filing appeals or correcting claim errors.
    • Perform eligibility checks, claim submission, and resubmission as required.
    • Monitor fresh claims, denials, suspensions, and appeals to ensure timely resolution.
    • Meet or exceed daily/weekly productivity and quality targets.
    All activities must be in compliance with Equal Employment Opportunity laws, HIPAA, ERISA , and other applicable regulations.


    Key Result Areas
    • Production - 100%; 40%; Regular claims and denials
    • Quality - 98.5%; 40%; Achieve your set target on a monthly basis
    • Follow SOPs and Checklists - 95%; 10%; Follow SOPs, Site Books, and Checklists
    • Time on System - 9 hrs daily; 4%; Meet required 9 hrs time-on-system mandate (only 3 days non-adherence allowed)
    • Shift Adherence - Login before shift time; 3%; Meet required shift start/end mandate (only 2 days non-adherence allowed)
    • Unapproved Leaves - 0; 3%; No unapproved leaves allowed


    Minimum Requirements
    • High School (HSC) or Graduate equivalent.
    • 2+ years of experience in U.S. healthcare accounts receivable follow-up and/or denial management.
    • Strong written and verbal communication skills.
    • Working knowledge of medical terminology, ICD-10, CPT, and HCPCS codes.
    • Basic computer proficiency.
    • Willingness to work continuous night shifts.


    Education / Experience / Certification
    • Prior experience in U.S. healthcare BPO/RCM preferred.
    • Experience with acute EHR systems (hospital-based electronic health record platforms).
    • Familiarity with clearinghouses such as Waystar, Realmed, Availity, Change Healthcare, and ViaTrack.
    • Proficiency in MS Excel, MS Word, and Google Sheets preferred.


    Skills & Technical Proficiency
    • Strong analytical and problem-solving skills with attention to detail.
    • Assertive and effective in resolving unpaid claims.
    • Ability to manage multiple tasks while processing high volumes of claims accurately.
    • Strong organizational and time management skills.
    • Ability to work independently with minimal supervision.
    • Commitment to maintaining confidentiality and compliance with HIPAA.


    Working Environment / Physical Demands

    Working Environment
    • General office environment: Works generally at a desk in a well-lighted, air-conditioned office, with moderate noise levels.
    • Periods of stress may occur.


    Physical Demands
    • Activities require a significant amount of sitting at office and work desks and in front of a computer monitor.
    • Some walking and standing relative to interaction with other personnel.


    Travel Requirements
    None.


    Other possible Unofficial Titles
    Unofficial titles may be given by the manager and used for email signature.
    Note:
    Nothing in this job description restricts management s right to assign or reassign duties and responsibilities to this job at any time. This document does not create an employment contract, implied or otherwise. It does not alter the "at will" employment relationship between the company and the employe
    Individual Contributor


    Disclaimer: This job posting has been aggregated from external source. Role details, content, and availability are subject to change. Applicants are advised to confirm the latest information directly on the company website before applying.

    Sourced from naukri

    Section · 02

    Skills

    healthcare billingMedical TerminologyHospitalhcpcsEHRDenial ManagementhipaaGoogle SheetsHealthcareElectronic Health RecordAccounts ReceivableCASH FLOWHealthcare BpoCommunication SkillsbpoWordcomplianceexcel

    Section · Company

    About TruBridge Healthcare Private Limited

    TruBridge Healthcare Private Limited

    TruBridge Healthcare Private Limited

    Analytics & KPO

    1.8k+

    employees

    1979

    47 years old

    Mumbai, Maharashtra

    India

    ₹4.7L PA avg

    Avg at TruBridge Healthcare Private Limited

    About

    TruBridge connects healthcare providers, patients, and communities using innovative solutions to address both their financial and clinical needs. We clear the way for care.

    Industries

    Analytics & KPO

    Employee ratings

    0 reviews

    4.1/ 5

    Employees rate it well for

    Overall Company41Company Culture40

    Find them on

    WebsiteLinkedInAmbitionBox reviews

    AR Analyst · waiting for your command