Role Description
The AR Patient Analyst is responsible for managing patient account balances within accounts receivable and ensuring timely and accurate resolution of outstanding patient balances. This role works closely with patients, payers, and internal teams to resolve billing issues, support collections, and improve overall revenue cycle performance. The AR Patient Analyst plays a key role in reducing aging accounts and enhancing the patient financial experience.
Key Responsibilities
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Review and manage patient accounts with outstanding balances in accounts receivable
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Investigate and resolve patient billing discrepancies, including payments, adjustments, and insurance processing issues
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Follow up with patients regarding balances, payment arrangements, and account resolution
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Work denied or underpaid claims to ensure accurate reimbursement and proper account resolution
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Collaborate with billing, coding, and patient access teams to resolve account issues
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Analyze aging reports and prioritize accounts for follow-up and resolution
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Process adjustments, refunds, and transfers in accordance with policies and procedures
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Communicate with insurance payers to resolve claims-related patient balance issues
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Document all account activity accurately in the practice management system
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Educate patients on account balances, insurance coverage, and financial responsibility
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Identify trends in denials, underpayments, or patient balance issues and escalate to leadership
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Ensure compliance with federal, state, and organizational billing regulations
Qualifications
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High school diploma or equivalent
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Minimum of 2β3 years of experience in accounts receivable, medical billing, or revenue cycle operations
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Knowledge of EOBs, patient billing, and insurance payment processes
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Experience with EHR and practice management systems
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Strong analytical and problem-solving skills
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Excellent communication and customer service skills
Preferred Qualifications
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Experience in oncology or specialty healthcare setting
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Knowledge of payer guidelines including Medicare, Medicaid, and commercial insurance
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Familiarity with denial management and collections processes
Key Competencies
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Strong attention to detail and accuracy
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Analytical thinking and problem-solving skills
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Effective communication and patient interaction skills
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Time management and ability to meet deadlines
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Ability to manage multiple priorities in a fast-paced environment
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Customer service and patient-centered mindset
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Team collaboration and accountability
Working Conditions
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Primarily office-based or clinic business office environment
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Frequent interaction with patients, payers, and internal departments
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Regular use of computers, phones, and revenue cycle systems
Physical Requirements
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Ability to sit for extended periods
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Ability to use standard office equipment, including computers and telephones