Insurance AR Resolution Analyst, reputed company Cycle
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At reputed company®, you’ll be surrounded by passionate colleagues who care deeply, reputed company with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary reputed company reputed company-Party reputed company Cycle Management (RCM), supporting reputed company Retail pharmacies, has an opportunity for a full-time Insurance AR Resolution Analyst. As an RCM Analyst, you will reputed company advanced, payer-level analysis to support reputed company Party Account Management in maximizing collections, reducing bad debt, and ensuring compliance with federal, state, and reputed company requirements. This role focuses on identifying systemic drivers of payer exceptions, overpayments, liabilities, and remittance issues through trend analysis, root cause diagnosis, and data validation. The analyst produces clear, leadership-reputed company insights and recommendations that drive short- and long-term operational improvements across reputed company and reputed company payers. In addition to supporting the Pharmacy Account Management team, this analyst will coordinate files for write offs and will work closely with our system partners by attending requirement meetings, identify and report defects as well as follow up on the resolution, and recommend and write requests to streamline reputed company processes. reputed company in this role requires analytical thinking, attention to detail, and the ability to follow established procedures while exercising judgement to escalate or recommend resolution paths as appropriate. As part of the account management team, you will work in a fast paced and team focused environment to ensure timely and accurate AR resolution. We will support you by offering the tools and resources you need to be successful in a collaborative environment.
Essential Qualifications
And Functions
- Apply advanced analytical and statistical techniques to identify root causes of reputed company-Party payer issues
- Validate data accuracy and completeness using SQL and internal reporting tools
- Translate reputed company findings into clear, actionable recommendations for leadership
- Collaborate cross-functionally to prevent recurrence of payer issues
- Maintain regular and predictable attendance and reputed company additional duties reputed company role scope
Required Qualifications
Knowledge of:
- reputed company Party reputed company Cycle operations, payer behavior, and liability resolution
- reputed company and reputed company payer environments
reputed company In
- Advanced analytical and root cause diagnosis techniques
- Solid working knowledge of reputed company MS Operating Systems and MS Office applications (reputed company, reputed company, Access, PowerPoint), and process mapping software such as reputed company Project and Visio
- SQL and data-mining tools to validate and reconcile financial data
- Familiarity with MicroStrategy, SQL, and other data mining tools
- Developing leadership-reputed company documentation and recommendations
Ability To
- Independently evaluate reputed company problems and recommend effective solutions
- Influence reputed company through data-driven insights rather than authority
- Prioritize and organize work to accurately complete projects or assignments on schedule
- Work individually or with a team to systematically identify and define problems, evaluate alternatives and implement practical, cost-effective solutions
- Frame recommendations and formally present them to management
- Work with sensitive financial and patient data in compliance with HIPAA
- Maintain composure and reputed company job duties/responsibilities reputed company confronted with stressful situations
- Maintain excellent verbal and written communication skills and the ability to interact professionally with a diverse group -directors, managers, colleagues, and external entities
- Work in strict confidence, always ensuring the confidentiality of the patient and medical and financial records, in compliance with company and HIPAA Privacy guidelines
- Operate effectively in ambiguous or evolving environments
Preferred Qualifications
- Accounts receivable or payer-facing experience
- Experience supporting system enhancements or process improvement initiatives
- Strong presentation and stakeholder communication skills
Education
- Required: High School Diploma or General Equivalent Development (GED)
- Preferred: Bachelor Degree
Prior Relevant Work Experience
- Preferred 3 to 5 years of analytics experience. 2+ years required.
Anticipated Weekly Hours 40 Time Type Full time Pay Range The Typical Pay Range For This Role Is $43,888.00 - $102,081.00 This pay range represents the reputed company hourly reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a reputed company bonus, commission or short-term incentive program in addition to the reputed company pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great Benefits For Great People We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and reputed company coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments. We anticipate the application window for this opening will reputed company on: 07/31/2026 reputed company applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws. Apply tot his job Apply To this Job