Senior AR Analyst

Manage end-to-end accounts receivable follow-up for unpaid, aged, delayed, and rejected insurance claims. Perform aging analysis across 30-, 60-, 90-, and 120+-day claims to support outstanding balance reduction and cash-flow improvement.

Investigate claim status through payer calls and web portals, identify recurring denial trends, and coordinate with coding and billing teams. Prepare and submit appeals with clinical records, medical notes, and CPT/ICD-10 codes; reconcile EOB and ERA documents, verify contractual adjustments, train new hires, and conduct MOC calls.

Managed US healthcare medical claims and aged accounts while meeting daily productivity requirements. Performed AR follow-ups and entered payments, account details, and call logs into internal systems.

Conducted client assessments and claim research, reviewed insurance claims from the provider perspective, and performed multi-level checks to reduce errors. Reviewed appeals, manually adjudicated claims and appeals, adjusted payments between insurance and billing companies, and supported team goals through best-practice sharing and case review.

Finalized healthcare claim payments for providers and individual members insured through UnitedHealthcare. Settled payments according to updated policies, insurance contract changes, and claim-processing requirements.

Processed Medicare, Medicaid, anesthesia, surgery, and coordination of benefits claims. Applied knowledge of medical terminology, standard claim forms, physician billing codes, contracts, CPT, HCPCS, and ICD-10; tracked project documents and communicated client process updates to the team.