The AR Lead Analyst is an experienced individual contributor responsible for providing subject matter expertise, floor support, and real-time coaching to enhance team performance in Accounts Receivable (A/R) and denial management. This role ensures adherence to standard RCM practices, drives accuracy and compliance, supports process improvements, and enables team success through proactive problem-solving, training, and coaching. The Lead Analyst acts as a bridge between frontline analysts and leadership, fostering operational excellence and continuous improvement.

Essential Functions: In addition to working as prescribed in our Performance Factors specific responsibilities of this role include:

• Production & Quality
  • Take full ownership of assigned workload with accuracy and compliance.
  • Ensure adherence to SOPs, client-specific requirements, and quality benchmarks.
  • Review Supervisor queue items and provide corrective training to reduce future escalations.
• Operational Excellence
  • Provide team floor support, handle real-time queries, and troubleshoot operational challenges.
  • Conduct audits, cross-skilling, and on-the-job training to strengthen team knowledge.
  • Identify and prevent fraudulent work by monitoring performance and audit results.
  • Create, update, and validate checklists and process documentation for team members.
  • Promote a proactive, accountable, and solution-oriented culture.
• Initiatives & Continuous Improvement
  • Identify trends, recurring errors, and process gaps to recommend corrective actions.
  • Conduct denial analysis and share insights with the team to reduce avoidable rework.
  • Participate in special projects and process improvement initiatives to enhance efficiency and outcomes.
  • Encourage and engage team members in process optimization and skill development.
• Coaching & Development
  • Provide timely and constructive feedback to team members (Liaisons) on performance, accuracy, and productivity.
• Support team members through coaching, counseling, and guidance when they face challenges.
• Strategize assignment distribution to balance workloads and focus on individual development.
• Drive continuous learning and encourage best practices within the team.

All activities must be in compliance with Equal Employment Opportunity laws, HIPAA, ERISA and other regulations, as appropriate. 

Minimum Requirements:

• 5+ years of experience in the U.S. healthcare domain, specializing in Accounts Receivable and Denial Management.
• Strong knowledge of standard RCM practices and payer-specific requirements.
• Proven experience providing coaching, mentoring, or floor support to operational teams.
• Willingness to work flexible shifts and adapt to internal role movements as needed.

Education / Experience / Certification:

• Bachelor’s degree preferred.
• Experience in U.S. healthcare BPO/RCM operations, specifically in A/R follow-up and denial management, is mandatory.
• Exposure to patient accounting systems (Epic, Cerner, Meditech, NextGen, eCW, CareCloud, etc.) is preferred.
• Advanced MS Excel and reporting experience required.
• Certification in medical coding (CPC/CCS) or process improvement (Lean/Six Sigma) is an added advantage.

Skills & Technical Proficiency:

• Strong subject matter expertise in U.S. healthcare A/R, denial management, and RCM best practices.
• Excellent coaching, feedback, and counseling skills to guide team members effectively.
• Ability to identify performance gaps, analyze root causes, and recommend actionable solutions.
• Strong organizational and time management skills with the ability to prioritize tasks.
• Effective verbal and written communication skills for clear team and stakeholder interactions.
• Advanced proficiency in MS Excel; working knowledge of MS Word, PowerPoint, and Google Suite.
• Ability to work independently as an individual contributor while enabling team success.
• High attention to detail, integrity, and commitment to compliance with HIPAA and company policies.

Key Results / Performance Indicators

KRA Category

Target / Metric

Weightage

Focus Areas / Comments

Production

≥ 65%

30.0%

Full ownership of assigned workload

Quality

≥ 99%

30.0%

Accuracy, compliance, and adherence to SOPs

Operational Excellence

Team Quality ≥ 99%

30%

Proactive mindset, accountability, and support for team success

- Team Floor Support and Query handling

- Reviewing Supervisor queue and providing training to reduce the same in future

- Team Audit, Training and Cross-Skilling

- Identify and prevent fraudulent work

- Creating, updating and validating done checklists for team members

Initiatives

n

10.0%

Help identify trends, process improvements, error possibilities, changes to edits, Denial Analysis etc.

Working Environment/Physical Demands

Working Environment:

• General office environment: Works generally at a desk in a well-lighted, air-conditioned office, with moderate noise levels. 
• Periods of stress may occur.

Physical Demands:

• Activities require a significant amount of sitting at office and work desks and in front of a computer monitor.
• Some walking and standing relative to interaction with other personnel. 

Travel Requirements:

    xNone       Occasional            Moderate          Frequent           Very Frequent

                            (25% or Less)              (25% - 40%)            (40% - 80%)                       (80% or m

Other possible Unofficial Titles

Unofficial titles may be given by the manager and used for email signature.

individual contributor