TruBridge

Accounts Receivable Analyst – Ambulatory

TruBridge

full-time

Posted on:

Location Type: Remote

Location: India

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About the role

  • Perform pre-call analysis and check claim status via payer calls, IVR, or payer web portals.
  • Document all claim activities in client software, ensuring a clear and compliant audit trail.
  • Conduct post-call analysis and record after-call actions for claims follow-up.
  • Review and interpret Explanation of Benefits (EOBs), authorizations, medical documentation, and physician notes prior to contacting payers.
  • Analyze A/R data to identify underpayments, denials, and root causes; document with appropriate denial/adjustment codes.
  • Ensure compliance with all reimbursement, billing, and regulatory requirements (including HIPAA).
  • Convert denials into payments by filing appeals or correcting claim errors.
  • Perform eligibility checks, claim submission, and resubmission as required.
  • Monitor fresh claims, denials, suspensions, and appeals to ensure timely resolution.
  • Meet or exceed daily/weekly productivity and quality targets.

Requirements

  • High School (HSC) or Graduate equivalent.
  • 2+ years of experience in U.S. healthcare accounts receivable follow-up and/or denial management.
  • Strong written and verbal communication skills.
  • Working knowledge of medical terminology, ICD-10, CPT, and HCPCS codes.
  • Basic computer proficiency.
  • Willingness to work continuous night shifts.
  • Prior experience in U.S. healthcare BPO/RCM preferred.
  • Experience with acute EHR systems (hospital-based electronic health record platforms).
  • Familiarity with clearinghouses such as Waystar, Realmed, Availity, Change Healthcare, and ViaTrack.
  • Proficiency in MS Excel, MS Word, and Google Sheets preferred.
Benefits
  • Health insurance
  • Retirement plans
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
claims analysisdenial managementA/R data analysismedical terminologyICD-10CPTHCPCS codesclaim submissionappeals filingcompliance documentation
Soft Skills
written communicationverbal communicationattention to detailproblem-solvingtime managementorganizational skillsadaptabilityteam collaborationcustomer serviceproductivity focus