Junior Operations Associate

Healthcare providers go into medicine to care for people, but end up losing valuable time each day to admin work and other workplace challenges. Time that could otherwise be spent helping patients. And patients end up suffering as a result. At Athelas + Commure, we build solutions that simplify providers' lives and keep them connected to their patients so they can focus on doing what matters most: providing care. 

Our innovative suite of software and hardware – augmented by advanced LLM AI, RTLS, and healthcare workflow automations – boosts efficiency across every domain of healthcare, freeing up healthcare providers to spend more of their time caring for patients. Our growing suite of technologies include staff duress alerting, asset tracking, patient elopement, revenue cycle management, clinical documentation and intake, provider copilots, patient engagement and communication, home health, remote patient monitoring, and more.

Today, we support over 250,000 clinicians across hundreds of care sites around the country. And we’re only just getting started: Healthcare’s watershed moment for AI-powered transformation is here – so join us in creating the technology to power healthcare!

Responsibilities:

As a Denials Operations Associate at Athelas, you will play a pivotal role in ensuring that we are improving cash flow for our healthcare clients by researching and understanding the root causes of healthcare claim denials and rejections. Your work will directly contribute to our mission by identifying ways technology can be implemented to efficiently combat denials and reduce rejections.

What You’ll Do:

• Manage Claims Lifecycle: You’ll oversee the claims management process from post-submission through to resolution. This includes proactively calling payers to gather information, verify claim status, and promptly address rejections and denials using software tools.

• Perform Root Cause Analysis: When discrepancies arise, you'll dig deep to find the root cause and implement preventative measures to improve processes and reduce future issues.

• Own Metrics Management: You will take charge of performance metrics for a designated subset of accounts. You'll conduct regular analysis, identify trends, and implement improvement strategies to boost overall operational efficiency.

• Team Collaboration: You will actively participate in team meetings, share insights and contribute to a positive and collaborative team culture. You'll also assist team members as needed, fostering a supportive and cohesive working environment.

• Foster Cross-Functional Collaboration: You will collaborate closely with product teams and account managers to deepen your understanding of system functionalities and contribute to the development of tools that enhance operational workflows. You'll also have periodic client-facing opportunities.

• Develop Expertise in Medicare and Managed Care Billing: You will cultivate proficiency in Medicare and Managed Care billing, coding, and reimbursement policies to ensure compliance and accuracy.

What you Have:

• Analytical Skills: Your exceptional analytical and problem-solving skills enable you to tackle complex issues. You have a keen attention to detail and a methodical approach to your work.

• Collaboration: You are a team player with excellent communication skills. Your ability to work effectively in a team environment and collaborate across departments sets you apart.

• Communication: You can distill complex issues into actionable next steps for internal and external partners. You have a professional demeanor and ability to represent Athelas and its clients with integrity.

• Education/Experience: Bachelor’s degree in a STEM field OR HS diploma with 2+ years of experience in hospital billing, revenue cycle management, or related healthcare data analytics (e.g., medical assistant, billing and coding, healthcare technician, biology/health science major).

• Technical Skills: Proficient in data analysis tools, including Excel. Experience with SQL is a plus, but not required.

Why you’ll love working at Athelas + Commure:

• Highly Driven Team: We work hard and fast for exceptional results, knowing we’re doing mission-driven work to transform the country’s largest sector. 

• Strong Backing: We are backed by top investors including General Catalyst, Sequoia, Y Combinator, Lux, Human Capital, 8VC, Greenoaks Capital and Elad Gil.