Senior Operations Analyst at athenahealth

Chennai, tamil nadu, India -

Full Time

Start Date

Immediate

Expiry Date

29 Aug, 26

Salary

0.0

Posted On

31 May, 26

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Healthcare RCM, AR Calling, Denial Management, Data Analysis, Operational Reporting, athenaNet, MS Excel, MS Word, Root Cause Analysis, Process Improvement, SOP Compliance, Stakeholder Coordination

Industry

IT Services and IT Consulting

Description

Join us as we work to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all. Role summary: Drive measurable revenue cycle quality improvements by owning more complex AR calling and denial management analysis as a Senior Operations Analyst in Chennai, India (Hybrid). You’ll apply Healthcare RCM expertise to ensure work is completed accurately, identify root causes of recurring denial issues, and support continuous improvement efforts using operational reporting and the athenaNet platform insights where applicable. You will report to the Operations Manager. Team summary: The operations team holds accountability for critical parts of athenahealth workflows. The team executes key initiatives in athenaClinicals and athenaCollector by working with customers and internal stakeholders. You will contribute by leveraging knowledge in the athenaNet platform to improve product workflows, strengthen service delivery, and advance revenue cycle operations across the ecosystem. Essential Job Responsibilities Analyze Healthcare RCM performance data to identify trends in AR calling outcomes and denial patterns. Own AR calling and denial management workflows for more complex cases, ensuring timely and accurate completion. Review denial reasons, supporting documentation, and process steps to determine appropriate corrective actions. Coordinate with internal stakeholders to resolve issues, reduce delays, and minimize rework across claim/denial-related workflows. Document case notes, actions taken, and outcomes in required systems to maintain traceability and audit readiness. Validate quality by ensuring work aligns to SOPs, operational standards, and established acceptance criteria. Identify root causes for recurring denial themes and propose practical process improvements. Report on key operational metrics and escalation themes to support goal tracking and performance management. Use AI-enabled assistance to improve speed and consistency by leveraging AI-supported summarization and anomaly detection where available, while applying your judgment to verify accuracy and follow SOPs. Additional Job Responsibilities Support training and knowledge sharing by coaching peers on denial handling approaches and quality expectations. Contribute to process documentation updates and job aids based on observed operational learnings. Participate in quality calibration sessions to align on denial interpretation, documentation requirements, and escalation thresholds. Assist with implementation planning for process changes that affect AR calling and denial workflows. Engage in continuous improvement projects aimed at improving accuracy, reducing cycle time, and supporting more efficient workflows. Participate in special investigations or deep dives for escalated denial issues. Expected Education & Experience 4–6 years of experience in Healthcare RCM operations, quality, or a related analytical operational role. Strong proficiency in MS office tools (Microsoft Excel, Microsoft Word etc..) Demonstrated AR calling experience within revenue cycle workflows. Denial management experience, including reviewing denial reasons and driving appropriate next steps. Solid understanding of RCM concepts (e.g., claims workflow, denial drivers, and operational resolution steps as applicable). Proficiency in operational documentation practices to ensure audit-ready case notes and logs. Experience working with SOPs and quality standards to achieve consistent outcomes. Ability to analyze trends and translate findings into recommendations for process improvements. Strong communication skills to escalate, coordinate, and explain findings clearly to stakeholders. Comfort working in a hybrid environment based in Chennai, India. Travel: NA % travel annually. About athenahealth Our vision: In an industry that becomes more complex by the day, we stand for simplicity. We offer IT solutions and expert services that eliminate the daily hurdles preventing healthcare providers from focusing entirely on their patients — powered by our vision to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all. Our company culture: Our talented employees — or athenistas, as we call ourselves — spark the innovation and passion needed to accomplish our vision. We are a diverse group of dreamers and do-ers with unique knowledge, expertise, backgrounds, and perspectives. We unite as mission-driven problem-solvers with a deep desire to achieve our vision and make our time here count. Our award-winning culture is built around shared values of inclusiveness, accountability, and support. Our DEI commitment: Our vision of accessible, high-quality, and sustainable healthcare for all requires addressing the inequities that stand in the way. That's one reason we prioritize diversity, equity, and inclusion in every aspect of our business, from attracting and sustaining a diverse workforce to maintaining an inclusive environment for athenistas, our partners, customers and the communities where we work and serve. What we can do for you: Along with health and financial benefits, athenistas enjoy perks specific to each location, including commuter support, employee assistance programs, tuition assistance, employee resource groups, and collaborative workspaces — some offices even welcome dogs. We also encourage a better work-life balance for athenistas with our flexibility. While we know in-office collaboration is critical to our vision, we recognize that not all work needs to be done within an office environment, full-time. With consistent communication and digital collaboration tools, athenahealth enables employees to find a balance that feels fulfilling and productive for each individual situation. In addition to our traditional benefits and perks, we sponsor events throughout the year, including book clubs, external speakers, and hackathons. We provide athenistas with a company culture based on learning, the support of an engaged team, and an inclusive environment where all employees are valued. Learn more about our culture and benefits here: athenahealth.com/careers https://www.athenahealth.com/careers/equal-opportunity United by our mission and driven by our entrepreneurial spirit, our work at athenahealth is collaborative, transformative, and above all, it’s meaningful. Our employees take pride in using technology and data-driven insights to inspire changes that will make the U.S. healthcare system better for everyone, including your friends, family and maybe even you. Notice to Job Seekers/Job Candidates: Recruitment Fraud Alert Please be aware of questionable job offers that are not affiliated with athenahealth. athenahealth has been made aware of unauthorized career opportunities offered by individuals posing as representatives of larger U.S. companies, including athenahealth. The fictitious jobs are advertised on employment-search websites, such as Indeed.com and Craigslist.com, and prospective employees are required to share their personal and financial information (e.g. credit card, bank information), provide copies of their government-issued identification, and/or send money for application fees, processing charges or work permits. The victims who are told they are "hired" are often instructed to deposit a check (which is later returned as fraudulent) into their own account and to forward overpayment to individuals - usually via wire transfer. Important information for job seekers: athenahealth has a formal application process and we do not request you to interview on a Google Hangout or via text messaging. athenahealth will never request money for the opportunity to apply or work for athenahealth. athenathealth does not require completion of tax forms, bank account or credit card information as part of the recruiting process. If you feel that you have been a victim of such a scam, please send an email to: askhr@athenahealth.com

Responsibilities

Drive revenue cycle quality improvements by managing complex AR calling and denial analysis. Identify root causes of recurring denial issues and implement process improvements using the athenaNet platform.