ABOUT FIRSTSOURCE

First source Solutions is a leading provider of customized Business Process Management (BPM) services. First source specialises in helping customers stay ahead of the curve through transformational solutions to re imagine business processes and deliver increased efficiency, deeper insights, and superior outcomes.

We are trusted brand custodians and long-term partners to 100+ leading brands with presence in the US, UK, Philippines, Mexico and India. Our ‘right shore’ delivery model offers solutions covering complete customer life cycle across Healthcare, Telecommunications & Media and Banking, Financial Services & Insurance verticals.

Our client includes Fortune 500 and FTSE 100 companies

Job Title: AR Analyst – US Healthcare

Experience: 1 to 4 Years
Location: Coimbatore
Shift: Night Shift (US Shift)

Job Summary

We are seeking a detail-oriented and experienced AR Analyst to join our US Healthcare Revenue Cycle Management team. The candidate will be responsible for analyzing and resolving outstanding insurance claims, identifying denial trends, and ensuring timely reimbursement from insurance payers.

Key Responsibilities

• Review and follow up on outstanding insurance claims with various payers.
• Analyze denied, rejected, and underpaid claims and take appropriate action for resolution.
• Contact insurance companies via calls and payer portals to obtain claim status.
• Identify root causes of denials and work towards claim resolution.
• Submit appeals and necessary documentation to insurance companies.
• Ensure timely follow-up on aged accounts receivable.
• Maintain accurate records of claim activities and follow-up actions.
• Meet daily productivity and quality targets.
• Escalate unresolved issues to the appropriate teams when required.
• Work closely with internal departments to improve claim processing and reimbursement.

Required Skills

• Good knowledge of US Healthcare Revenue Cycle Management (RCM).
• Experience in Accounts Receivable (AR) Calling and Denial Management.
• Understanding of insurance claim processing and reimbursement methodologies.
• Familiarity with Medicare, Medicaid, and commercial insurance payers.
• Strong analytical and problem-solving skills.
• Good verbal and written communication skills.
• Ability to work independently and in a team environment.

Educational Qualification

• Any Graduate (Preferred)
• Relevant experience in US Healthcare AR Calling/AR Analysis.

Preferred Experience

• Experience in handling physician billing, hospital billing, or medical billing processes.
• Knowledge of denial management, appeals, and payment posting concepts.
• Experience working with EMR/EHR and medical billing software will be an added advantage.