Operations Analyst

Overview

Manage day-to-day AR calling activities and support denial management within RCM operations in Chennai, India, reporting to the Operations Manager.

What you'll do

• Conduct AR calling activities to support timely patient or payer follow-up as required by workflow standards.
• Manage denial-related work by identifying denial causes and ensuring appropriate next steps are taken within defined processes.
• Review RCM documentation and transaction details to confirm accuracy, completeness, and adherence to policy.
• Update work queues and operational systems with accurate statuses, notes, and outcomes to maintain audit-ready records.
• Analyze trends in AR calling and denials to identify recurring issues and improvement opportunities.
• Coordinate with internal partners to resolve escalations and ensure consistent handling of denial cases.
• Ensure quality and compliance by following SOPs and established denial/RCM handling guidelines.
• Report daily/weekly activity metrics and provide clear summaries of progress, blockers, and next actions.
• Use AI-enabled tools to enhance productivity and learning by applying AI-assisted summaries or pattern checks to support routine AR calling and denial investigation, while keeping responsibility for validation and final operational decisions.
• Support special projects related to AR Calling and denial workflow optimization.
• Assist with knowledge base updates by documenting common denial reasons and resolution guidance.
• Participate in operational reviews and feedback sessions to improve process adherence.
• Help train or mentor peers on workflow steps and quality expectations as needed.
• Perform additional RCM operational tasks assigned by the team to meet coverage requirements.
• Contribute to continuous improvement initiatives by proposing process refinements based on observed outcomes.

What you'll need

• 2 to 4 years of experience in healthcare operations, RCM, or related claims/AR workflows.
• Strong proficiency in MS Office tools (Microsoft Excel, Microsoft Word etc.).
• Practical experience with AR Calling and day-to-day AR follow-up activities.
• Experience with denial management, including reviewing denial details and progressing cases appropriately.
• Working knowledge of RCM concepts and standard operational workflows.
• Strong attention to detail and ability to maintain accurate, audit-ready documentation.
• Comfort working with operational systems and work queues for status tracking and case updates.
• Ability to work effectively to SOPs and quality standards in a time-sensitive environment.
• Willingness to work Hybrid in Chennai, India.

Details

• Location: Chennai, India.
• Work mode: Hybrid.
• Reports to the Operations Manager.
• Travel: NA% travel annually.