Operations Analyst

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Skills you'll use

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.

Who can apply

• 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.
• 2–4 years of experience in healthcare operations, RCM , or related claims/AR workflows.

About Athena Health

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