Senior Operations Analyst
Core
Drive measurable improvements in revenue cycle quality by leading end-to-end quality assurance, denial analysis, and process improvement initiatives for AR and denials workflows.
Role type
Senior Operations Analyst (Healthcare RCM Quality)
Builds
Scalable, high-quality execution across BPO and internal teams
Domain
Healthcare Revenue Cycle Management (RCM)
Deliverable
dashboards & analysis
Required skills
Root cause analysis, denial management, audit methodologies, process improvement, data analysis, quality metrics monitoring, SOP adherence, stakeholder management
Preferred skills
Familiarity with athenaNet or similar RCM platforms, AI-enabled tools
Technologies
athenaNet, AI-enabled tools
Responsibilities
Conduct end-to-end quality audits on AR calling and denial workflows, Analyze denial trends and quality defects to identify root causes, Drive corrective and preventive actions (CAPA) to reduce recurring errors, Establish and monitor quality metrics, Partner with Operations and BPO teams to improve process adherence, Perform deep-dive analyses on escalations and high-impact quality issues
Seniority
Senior, hands-on IC
