AR Research Analyst

Your Essential Duties and Responsibilities include the following.  As with any job, other duties may be assigned to you as appropriate. 

1. First and foremost, you should always uphold and support the company’s mission and values of integrity, quality, growth/stability and people.
2. You will research, analyze and resolve outstanding accounts receivable balances.
3. You will identify steps for performing appeals for denied claims.
4. You will interact with insurance companies to determine root cause of issues and problem resolution.
5. You will complete projects related to the reduction of ADO (Average Days Outstanding) and accounts receivable balances.
6. You will work weekly and monthly reports to help reduce the AR.  For example: weekly denial report, weekly untimely filing report, and special billings.
7. You will analyze a monthly report to determine priorities and focus.
8. You will multi-task to handle several projects, reports, and requests. 
9. You will be flexible with projects that require attention. 
10. You will submit recommendations for process improvements.
11. You will be assertive when making phone calls to receive all appropriate information that is needed for proper resolution.
12. You will follow up on accounts that are not paid.
13. You will utilize web sites to find the correct information about laws, insurance companies, and regulations.
14. You will keep up-to date with current issues going on with insurance companies through bulletins and/or list serves.

• 1 to 2 years of medical billing and collections experience
• Understanding of AR processes looking for trends
• Some experience with electronic submission
• Identify claim issues and communicate them in a timely manner
• Appeal right processes
• Excellent verbal and communication skills
• Knowledge of ICD-9, CPT-4 including the correct usage of modifiers
• High school diploma required
• Some medical education is helpful
• Analytical

• Knowledge of using Microsoft Word, Microsoft Excel and Microsoft Outlook.