Enhanced Claim Resolution Operations, Senior Analyst

Join us as we work to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all.

Position Summary: The Enhanced Claim Resolution Operations Analyst is responsible for analyzing a queue of work related to revenue cycle success.  This includes working claims for payers that cannot be contacted by our business partners and/or other health insurance claim-based work excluded from our standard workflows. Following established workflows and identified best practices, you will research, and resolve claims to support the creation of a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all.   Your responsibilities will include analysis and appropriate resolution of a queue of work within a contractually specified timeframe in the most efficient manner possible, identifying trends through observation and investigation, and escalating opportunities for improvement to the appropriate business unit.

Essential Functions (Duties and Responsibilities): 

80% Queue Based Work

• Ensures accurate entry of information into athenaNet and trading partner applications.

• Builds and maintains expert subject matter knowledge of assigned processes in order to be a resource for clients and internal stakeholders

• Works with key stakeholders (internal and/or external) across geographies to perform tasks

• Removes obstacles and works independently to ensure completion of assigned tasks within specified turnaround times and adhering to established goals

• Prioritizes work effectively in a fast-paced environment

• Demonstrates flexibility & adaptability when business directives change

• Possesses a high level of attention to detail and holds self to equally high-quality standards

• Embodies athenahealth’s values and behaviors

• Leverages all available resources to solve problems

10% Trend Identification/Critical Thinking & Problem Solving

• Identifies and surfaces workflow inconsistencies

• Communicates opportunities for innovation and process refinement

• Evaluates alternative methodologies when applicable and implements appropriate solutions to new problems

• Presents information and concepts in a professional and organized manner

• Leverages all available resources to solve problems

• Identify error trends in your work and escalate where appropriate

• Navigate the organization with professionalism

10% Training & Professional Development

• Participates in training opportunities by leveraging appropriate growth 

• Shares useful information with teams when appropriate

• Accepts, delivers and implements both positive and constructive feedback

• Demonstrates behaviors of our Values 

• Engages in dialogue to facilitate trust and understanding of others

• Initiates opportunities to experience and learn new skills in support of personal career development

• Provides training & mentoring to peers to ensure client needs are met and work is completed accurately

• Becomes an engaged and active participant in athenahealth’s teaching and learning culture by demonstrating tenacity and teamwork

• Demonstrates commitment to becoming a subject matter expert

Education & Experience Required: 

• Bachelor’s degree preferred or 2-4 years of professional experience preferred

• Effective communication and business writing skills

• Microsoft Office Suite, basic computer skills including proficient typing and navigation 

Knowledge & Skills: 

• Effective communication and interpersonal relationship skills

• Solid planning and organizational abilities

• Time management skills and ability to prioritize work based on criticality 

• Critical thinking and problem-solving skills

• Works independently as well as part of an extended, cross-functional team

• Experience working with cross-functional groups and teams to achieve common goals

• Flexibility and adaptability in approach to challenges to achieve desired outcomes

• Displays initiative, tenacity and flexibility in a fast-paced team environment

• Attention to detail

About athenahealth

Here’s our vision: To create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all.  

What’s unique about our locations? 
From an historic, 19th century arsenal to a converted, landmark power plant, all of athenahealth’s office