AR Collection Analyst

Join a team where every scan matters and every patient counts. At Diagnostic Radiology & Imaging, we combine cutting-edge imaging technology with compassionate care to make a real difference in people’s lives. Grow your career in a supportive, fast-paced environment, collaborate with top-notch professionals, and see your impact every day. Your next great opportunity in outpatient radiology is waiting—come be part of something stellar!

Description

AR Collection Analysts are responsible for all functions related to the follow-up of outstanding or denied claims. Analyzing patient accounts, understanding, and communicating with insurance companies, and utilizing all resources to resolve unpaid insurance balances quickly and accurately. Additionally, responsible for overall revenue cycle analysis, trend identification, and metric reporting. Participate in provider enrollment, project participation, and contract variance analysis. Primary point of contact for all inquiries from 3rd party vendor and resolution of issues slowing collections.

Duties and Responsibilities

Collections, Dispute Resolution & Risk Management:

• Monitor A/R aging reports to identify overdue accounts and execute collection strategies.

• Act as a liaison between the 3rd Party vendor and radiology partners to investigate and resolve provider credentialing issues, such as auditing existing and new enrollment at various sites.

Account Reconciliation and Revenue Cycle:

• Identify issues and trends, escalating as needed for quick resolution, minimizing impact to revenue

• Prepare documentation and reports to support internal and external audits and provide insights into accounts receivable performance.

• Review the progress of the 3rd party vendor’s progress on denied claims, submitting appeals according to payer guidelines as needed

• Work with 3rd party vendor to ensure adherence to timely claims filing and appeal deadlines

• Work closely with MSN, data analyst, and COO and Director of Nursing to establish pricing for any new procedures

• Prepare financial reports for management to forecast cash inflows. Work closely with the finance and leadership team on billing projects as needed

Data Analysis & Reporting:

• Generate and analyze key performance indicators (KPIs) such as Days Sales Outstanding (DSO) and collection effectiveness.

• Prepare financial reports for management to forecast cash inflows.

• Follow up with the 3rd-party vendor on all outstanding claims with no response from payers.

Process Improvement:

• Maintain knowledge of payer policies and portals to ensure compliance in billing and appeal processes

• Identify opportunities to automate manual tasks using ERP systems or AI-driven tools to enhance operational efficiency.

• Maintain department productivity and ensure compliance with company policies and procedures.

• Assist in the development of policies, procedures, and systems to improve workflows, efficiencies, and to meet all goals/metrics that are set for the department.

Additional Duties and responsibilities include but may not be limited to:

• Maintain confidentiality of patient information and adhere to HIPAA regulations

• Promote a culture that reflects the organization’s values, encourages good performance, and enhances productivity.

• Attend training sessions as required to maintain system knowledge.

• Know and understand payer contracts, fee schedules, and related crosswalks; leverage this knowledge to monitor expected reimbursement, identify negative variances, and coordinate timely refiling or appeal of claims as needed.

• Other duties as assigned.

Minimum Qualifications

Education: Associates’ s degree in Accounting, Finance, or Business Administration is standard.

Experience/Skills:

 2-4 years of experience in accounts receivable or a related financial role is preferred.

 Experience working in the Radiology field (highly preferred)

 Strong background in the entire billing process (including authorizations, coding, provider credentialing, etc.).

 Proficiency in accounting software and advanced Excel skills are essential for managing data and generating reports.

 Proficiency in MS Power BI

 Payer portals and policies

 Explanation of Benefits (EOBs)

 Understanding of deductibles, copays, coinsurance, and denial codes

 Attention to detail

 Prior experience with Imagine billing software is a plus

 Ability to prioritize independently

 Ability to multitask in a busy office environment

 Proficient in customer service skills

 Intermediate knowledge of MS Office and email

 Ability to comprehend and utilize the Electronic Medical Record System

Knowledge: Proficiency in ERP systems (e.g., SAP, Oracle, NetSuite) and advanced Microsoft Excel skills (PivotTables, VLOOKUPs) is essential. Consistently model AIDET principles, service excellence and service recovery. Consistently demonstrate commitment to safe practices while abiding by all OSHA and HIPAA guidelines.

Physical requirements: Occasionally required to lift, push, or pull light to moderate items. Must be able to stand, stoop, lift, and ambulate without restriction. The role primarily involves remaining in a seated, stationary position and performing frequent keyboard and computer-based tasks. Regular communication with internal and external stakeholders is required, along with occasional movement throughout the office and periods of standing as needed.

Working Conditions: Moderate noise associated with a typical work environment (computers, printers, and light traffic) is characteristic of this job.

Conditions of employment: Compliance with OSHA and HIPAA guidelines, wear all required Personal Protective Equipment. Adherence to the Mission, Vision, and Values of DRI and professional representation of DRI.

The statements contained herein are intended to describe the general nature and level of work performed by individuals assigned to this position. They are not intended to be construed as an exhaustive list of all duties, responsibilities, qualifications, or working conditions associated with the role. Management reserves the right to modify, add, or remove duties and to assign other responsibilities as business needs require. To perform this job successfully, an individual must be able to perform the essential functions of the position satisfactorily, with or without reasonable accommodation. In accordance with applicable federal, state, and local laws, reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions of this position.

Join our team as an AR Collection Analyst and play a vital role in ensuring the financial health of our outpatient diagnostic imaging services. Bring your expertise in medical collections, customer service excellence, and financial analysis to help us deliver seamless patient experiences while supporting our operational success.

Job Type: Full-time

Expected hours: 40 per week

Benefits:

• 401(k)
• 401(k) matching
• AD&D insurance
• Dental insurance
• Disability insurance
• Employee assistance program
• Employee discount
• Health insurance
• Health savings account
• Life insurance
• Opportunities for advancement
• Paid time off
• Vision insurance

Education:

• Associate (Preferred)

Experience:

• Accounts receivable: 2 years (Required)
• Revenue cycle: 2 years (Required)

Work Location: In person