Operation Analyst / Senior Operation Analyst – DM & OCF

Location

Sri Lanka

Key Responsibilities

• Daily production carried out efficiently according to daily production targets.
• Generate, analyze, and prioritize denial reports.
• Download/verify correspondences from Box folder/SFTP/HER to fix denied claims.
• Ensure daily allocated denials are fixed and reports are submitted to management.
• Perform root cause analysis for denials and AR, and share with management.
• Ensure 30+ paid rate is achieved for assigned clients.
• Review, fix, and respond to QA reports within 24 hours.
• Respond to all internal emails within the shift time.
• Ensure compliance with HIPAA and ISO standards.
• Share daily and weekly reports within given timelines.
• Update SOPs in a timely manner.
• Conduct random QA and share reports with relevant personnel.
• Maintain 98% accuracy or greater for denial fixes and AR follow-up.
• Conduct training for newcomers on job-specific functions.

Requirements/Qualifications

• Bachelor’s degree in Finance, Healthcare, Business, or a related field.
• Minimum 1 to 2 years of RCM experience.
• Minimum 1+ years of DM/OCF experience.
• Passion for solving problems.
• Ability to work with MS Office package.
• Good written and verbal communication skills.
• Ability to work under pressure.
• Tenacity.

Salary/Benefits

• Work Week: Monday to Friday
• Shift: 7:30 PM to 4:00 AM (Night Shift)
• Other Details: US Calendar Applicable