CPSI logo
CPSI

Individual Contributor

Accounts Receivable Analyst

Accounts ReceivableAccounts ReceivableFull TimeRemoteMid LevelTeam 1,001-5,000

Location

India

Posted

15 hours ago

Salary

0

Seniority

Mid Level

No structured requirement data.

Job Description

Accounts Receivable Analyst

CPSI

Role Description - 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 - High School (HSC) or graduate or equivalent with strong analytical skills. - 1-3 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. Company Description Individual Contributor

Related Categories

Related Job Pages

More Accounts Receivable Jobs

Full TimeRemoteTeam 501-1,000

Role Description The AR/Payment Posting Specialist is responsible for managing all aspects of the claims lifecycle, from claim submission to resolution, including appeals, follow-ups with payers, and denial management. This role is essential in ensuring accurate and timely reimbursement for services rendered by our providers, including support to Payment Poster. Responsibilities - Identify, investigate, and resolve unpaid claims utilizing Payor portals to follow up on submitted claims. - Call insurance companies when claims are denied and work with commercial/government payers. - Research denials and rejections as well as payor policies. - Submit claims’ reconsiderations and appeals, documenting account activity. - Manage medical records requests. - Track and trend payor issues. - Collaborate with Billing, Cash Posting, Contracting, and Intake on issues affecting account resolution. - Apply manual payments and auto payments to accounts for payor types of Medicare, Medicaid, and Commercial Insurances. - Analyze EOB information, including co-pays, deductible, co-insurance, contractual adjustments, denials, and more to verify accuracy of patient balances. - Other duties as assigned. Qualifications - Knowledge of CPT, HCPCS, ICD-10 coding, and payer rules related to behavioral health services. - Knowledge of insurance plans, policies, and procedures. - Proficiency in using EHR systems and insurance verification software. - Understanding of payment reconciliation and basic accounting practices. - Proficiency in Zoom/Google Meets and other virtual meeting platforms. - Strong organizational and multitasking skills. - Excellent verbal and written communication skills. - Detail-oriented with a high level of accuracy. - Ability to handle sensitive member and payment data in compliance with regulatory standards. - Ability to use discretion and work independently under general supervision. - Ability to work as part of a team. - Ability to understand and adhere to the Professional Code of Conduct. Requirements - High school diploma or equivalent; associate's degree or relevant certification preferred. CPC highly advantageous. - Minimum of 2+ years of experience in following up/resolving outstanding medical claims. - Access to reliable internet and telephone services, specifically 40M download and 10M upload package or higher as well as a strong WiFi signal from your remote work location. - Must meet pre-employment requirements and maintain all applicable state and job-related guidelines for background screening. Physical Requirements & Working Conditions These physical demands are representative of the physical requirements necessary for an employee to successfully perform the essential functions of the job. Reasonable accommodation can be made to enable people with disabilities; these are made on a case-by-case basis. - While performing the responsibilities of the role, the employee is required to talk and hear. - The employee is often required to sit and use his or her hands and fingers. - The employee is occasionally required to stand, walk, and reach with arms and hands. - Vision abilities required by this job include close vision. Limitations and Disclaimer The above job description is meant to describe the general nature and level of work being performed; it is not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required for the position. Other duties may be assigned from time to time. Equal Employment Opportunity Statement Groups is an equal opportunity employer committed to diversity and inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration without regard to race, color, gender, gender identity or expression, sex, sexual orientation, transgender status, gender dysphoria, national origin, age, religion, disability, military and veteran status, marital or parental status, citizenship status, genetic information, or any other factor which cannot lawfully be used as a basis for an employment decision.

United States
Teladoc Health logo

Account Receivable Analyst

Teladoc Health

Teladoc Health is a public company and a global, online care leader working to transform how people access healthcare by helping individuals and organizations r

• Manage outstanding balances and foster positive customer relationships • Resolve payment issues and focus on aged accounts • Collaborate with stakeholders to document interactions

Argentina
Ovation Healthcare logo

Accounts Receivable Specialist

Ovation Healthcare

Ovation Healthcare is the premier provider of shared services to improve hospital and system performance.

Full TimeRemoteTeam 201-500Since 45 yearsH1B No Sponsor

• Follow-up with insurance payers on outstanding claims • Break down obstacles to payment and accelerate cash collections • Utilize experience and follow-up strategies and tools to resolve claims • Document client’s host system using the 5 W’s framework • Write first and second level appeals of all denials • Escalate unpaid claims to payer claims supervisor as appropriate • Research and analyze any correspondence related to assigned accounts

Tennessee

Accounts Receivable Supervisor

Best Western International

Best Western International, founded in 1946, is one of the world’s largest hotel chains with over 4,100 resorts and hotels in more than 100 countries around t

Title: Accounts Receivable (AR) Supervisor – Hybrid AZ Location: Phoenix, AZ Job Description: Full time job requisition id R5105 Join BWH Hotels – Where Passion Meets Purpose At BWH® Hotels, we don't just offer employment opportunities, we create opportunities to be part of something extraordinary. As a global leader in hospitality for nearly 80 years, our vision is to inspire travel through unique experiences. Joining our corporate team means becoming part of a dynamic and inclusive community that values innovation, collaboration, and making a meaningful impact in the travel industry. Headquartered in Phoenix, Arizona, BWH Hotels boasts a powerful portfolio of 18 brands, including WorldHotels™, Best Western® Hotels & Resorts, and SureStay Hotels®, with approximately 4,300 hotels in over 100 countries. We take pride in our top-ranking employee engagement scores and foster a workplace culture where your contributions truly matter. Join us and be part of a team that's shaping the future of hospitality! Job Purpose Join our Accounting and Finance team as an Accounts Receivable (AR) Supervisor, where you will lead day-to-day AR operations to support accurate billing, timely collections, and strong Members relationships. This role combines hands-on operational oversight with team leadership, serving as a key point of escalation for complex or highly visible account matters while driving efficiency, accuracy, and compliance across AR accounts and processes. You’ll work cross-functionally with internal stakeholders and Members, playing an important role in protecting revenue, improving processes, and enhancing the overall billing experience. Key Responsibilities - AR Operations and Billing Oversight: - Oversee daily operations, including review and approval of manual billing to ensure accuracy, proper coding, and timely processing. - Support month-end billing cycles and resolve discrepancies in partnership with internal teams. - Maintain billing integrity within the system to ensure accurate revenue processing. - Delinquency Management: - Lead the monthly delinquency process, including review and approval of notices. - Monitor account status and guide follow-up strategies to improve collections outcomes. - Support structured payment plans and documentation. - Member Account Support: - Serve as an escalation point for complex billing, delinquency, and account-related issues. - Partner with Members and internal teams to resolve inquiries while maintaining strong relationships, protecting company interests, and ensuring compliance with established policies and procedures. - Team Leadership and Department Support: - Supervise, coach, and develop AR staff, ensuring strong performance and service levels. - Manage workload distribution and support the team in resolving escalated issues. - Reinforce best practices in billing, collections, and customer service. - Account Setup and Contract Review: - Review contracts for new accounts, amendments, and ownership transfers. - Validate billing structures and fee setup, ensuring accurate system configuration. - Partner cross-functionally to support smooth onboarding of new accounts. - Research and resolve discrepancies related to reservation billing activity. - Central Bill Support: - Oversee Central Bill accounts to ensure accuracy and timely payments. - Review and process adjustments for reservation-related activity (e.g., early departures, no-shows). Preferred Experience and Education - Associate’s degree in accounting, finance or related field or an equivalent combination of education and experience. - Minimum 5 Years of Accounts Receivable, billing, and collections experience including lead or supervisory responsibilities. - Experience working in high-volume billing environments. - Intermediate proficiency in Microsoft Excel (e.g., PivotTables, lookups, data analysis). Required Knowledge and Skills - Working knowledge of accounting ERP systems (Workday Financials experience preferred). - Strong attention to detail and excellent organizational and time-management skills. - Solid understanding of Generally Accepted Accounting Principles (GAAP). - Knowledge of contract review and billing setup processes. - Excellent written and verbal communication skills with the ability to manage complex or sensitive account discussions. - Ability to analyze, research, and resolve both routine and complex issues using sound judgment and prior experience. - Provides day-to-day direction and general supervision according to defined standards and guidelines. - Familiarity with using basic AI-enabled tools and automated systems to support accounts receivable tasks. Work Location and Schedule - This is a hybrid position, currently requiring onsite presence Mondays, Wednesdays and Fridays at our Headquarters location, with the option to work remotely on Tuesdays and Thursdays. This hybrid model fosters intentional collaboration, teamwork, connection, and productivity, while still supporting flexibility and work life balance. The office address is 6201 N 24th Parkway, Phoenix, Arizona 85016. - Working hours are Monday through Friday, 8am to 5pm (Arizona Time). This position is not eligible for immigration sponsorship. Benefits Summary for Full-Time Employees · Medical/Dental/Vision available day one · Vacation/Sick- accruals start day one · Paid company holidays and personal holidays to celebrate what’s important to you · 401K - company contribution and match (U.S.) · Registered Retirement Savings Plan (RRSP) – company contribution and match (Canada) · Employee discounts/hotel discounts · Free financial and health wellness programs · Tuition Reimbursement Equal Employment Opportunity BWH Hotels (the "Company") maintains a policy of equal employment opportunity for all employees and qualified applicants for employment without regard to race (including hair textures and hair styles associated with race), color or pigmentation, religion, religious creed (including religious dress and grooming practices), national origin, ancestry, alienage or citizenship status, caste, age, disability, gender, gender identity or expression, sex, sexual orientation, LGBTQIA+ individuals, height, weight, pregnancy status, childbirth or related medical conditions, genetic information, uniformed service or veteran status, marital status, or any other characteristic protected by applicable federal, state, provincial, or local laws. The Company’s equal employment opportunity policy applies to all aspects of employment with the Company, including, but not limited to, hiring, promotion, transfer, benefits, discipline, and termination.

Arizona