AR Claims Analyst

The RCM Associate supports daily revenue cycle work to help claims move correctly from start to finish. This role may work on insurance verification, claim submission, accounts receivable follow-up, or payment posting based on business needs. The associate is expected to follow written instructions, complete assigned tasks on time, and update records accurately. Work assignments may change as priorities change.

Key Responsibilities:

• Work assigned insurance claims until they are paid, denied, or sent to the next step.
• Complete accounts receivable (AR) follow-up by reviewing unpaid and underpaid claims.
• Follow up with insurance companies using portals, phone calls, or written requests.
• Review denied claims, identify the reason for denial, and take the correct next action.
• Work older and high-risk claims first when assigned.
• Apply contractual adjustments and write-offs when approved and documented.
• Update claim notes clearly and accurately in the billing system.
• Follow written work instructions and standard operating procedures (SOPs) exactly.
• Report issues when claims cannot move forward or instructions are unclear.
• Support different AR-related tasks as business needs change.

Performance Expectations:

• Meet daily work and productivity goals.
• Complete work accurately with minimal errors.
• Keep claims moving and avoid unnecessary delays.
• Correct errors within the time given after review.
• Follow instructions and avoid guessing or creating workarounds.
• Accept feedback and apply it to future work.

Experience (Preferred):

• 2 4 years of experience in U.S. healthcare billing, AR follow-up, or related RCM work.
• Hands-on experience working with unpaid or denied insurance claims.
• Experience working with insurance companies, payer portals, or billing systems.

Must-Have Qualifications:

• Experience working in U.S. healthcare revenue cycle processes.
• Hands-on experience in accounts receivable follow-up or denial management.
• Basic understanding of insurance plans, denials, and claim status workflows.
• Strong attention to detail and ability to work accurately.
• Ability to follow written instructions step by step.
• Ability to manage assigned work independently and meet deadlines.
• Comfortable working on repetitive, detail-focused tasks.
• Reliable internet connection and a private work space for remote work.
• Ability to work during assigned U.S. business hours.

Nice-to-Have Qualifications:

• Experience across more than one RCM function (verification, billing, AR, or posting).
• Experience with EHRs, billing platforms, or clearinghouses.
• Experience in dental, behavioral health, or multi-specialty billing.
• Basic spreadsheet or Excel skills.
• Prior experience working in a remote role.