Operations Analyst – ECR Inquiry & Dispute Intake
Core
Manage daily intake, screening, classification, and routing of Expert Claims Review (ECR) inquiries and disputes for healthcare payers and providers.
Role type
Operations Analyst (Healthcare Claims Operations)
Builds
Scalable operating models for dispute resolution and inquiry processing
Domain
Healthcare / Revenue Cycle Management / Claims Processing
Deliverable
dashboards & analysis
Required skills
Healthcare claims operations, intake process management, workflow routing, operational reporting, Microsoft Office Suite, claims management systems
Preferred skills
Healthcare industry experience, dispute management, revenue cycle operations, AI-enabled workflow tools, workflow automation platforms
Technologies
Microsoft Office Suite, claims management systems, workflow management platforms, AI-enabled workflow tools
Responsibilities
Manage daily intake, screening, classification, and distribution of incoming ECR inquiries and disputes; Monitor intake workflow performance to ensure adherence to client SLAs; Monitor AI-assisted triage and automation performance; Analyze inquiry and dispute trends to provide actionable reporting; Support workload balancing across onshore and offshore resources; Maintain standard operating procedures and process documentation.
Seniority
Mid-level, hands-on IC