HealthRecon Connect provides technology-enabled Revenue Cycle Management solutions to US healthcare providers. The company leverages over 30 years of deep domain expertise, machine learning, AI, cutting-edge analytics, and automated workflows that help improve cash flow, patient outcomes and enable peace of mind for their clients. At HealthRecon Connect, day after day, we not only hold ourselves accountable for setting and maintaining high standards, but we also passionately strive for the highest achievement, customer delight and thrive on the challenge of high expectations and commitment to excel.
HealthRecon was certified a Great Workplace by Great Place to Work® Sri Lanka for five consecutive years and was adjudged one of the 40 Best Workplaces in Sri Lanka in 2021. HealthRecon is also a participant of the United Nations Global Compact.
We are looking for Operation Analyst’s & Senior Operation Analyst’s in VOB / Pre-Authorization to join our team. Please review the criteria and other information listed below thoroughly prior to applying and pay specific attention to the work week, shift details and other features of the job.
Due to the large volume of applications we receive, all applications will be reviewed in the order in which they were received and only the candidates short-listed for the first round of interviews will be contacted. Thank you for your understanding.
Job Vacancy:
Operations Analyst / Senior Operations Analyst – VOB / Pre-Authorization
Work Week:
Monday to Friday
Shift Window:
7:30 PM to 4:00 AM (Night Shift)
Location:
Sri Lanka
Other Features:
Full Time
US calendar applicable
Responsibilities:
- Maintain master worksheet with patient demographic and verification details.
- Verify appointment status and pre-verification requirements.
- Contact insurance to obtain benefits and confirm provider participation.
- Identify and obtain required referrals or authorizations.
- Document coverage details in VOB notes and update practice software.
- Maintain daily production tracker and reconciliation report.
- Escalate demographic discrepancies before appointments.
- Serve as point of contact for assigned clients.
- Review and close QA findings within 24 hours.
- Respond to internal emails within shift timelines.
- Ensure compliance with HIPAA, ISO, and company standards.
- Share assigned reports within timelines.
- Update SOPs as required.
- Conduct QA audits and share results.
- Maintain AR follow-up and call quality ≥98%.
- Train new team members on job functions.
Qualifications & Experience
- Bachelor’s degree in finance, Healthcare, Business, or related field.
- At least 2 years RCM experience with at least 1 year in VOB / Pre-Authorization in Allergy specialty.
- In-depth knowledge of IMS and AMD Systems.
- Passion for solving problems.
- Ability to work with MS Office package.
- Good written and verbal communication skills.
- Ability to work under pressure.
- Tenacity.