Denials Analyst

AthenahealthBelfast, ME
113d

About The Position

Join us as we work to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all. The Denials Management Operations Analyst supporting the Work Delivery Zone is responsible for analyzing a queue of work related to revenue cycle success. This includes working claims escalated from 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. You are detail oriented, with a focus on work efficiency and quality. You possess a collaborative mindset and a desire to achieve subject matter expertise in your assigned area of work. You have critical thinking skills and process improvement driven.

Requirements

  • Bachelor's degree preferred or 2-4 years of professional experience
  • Effective communication and business writing skills
  • Microsoft Office suite, basic computer skills including proficient typing and navigation

Responsibilities

  • Build and maintain expert subject matter knowledge of assigned processes in order to be a resource for clients and internal stakeholders
  • Ensure accurate entry of information into athenaNet and trading partner applications
  • Identify and surface workflow inconsistencies and communicate opportunities for innovation and process refinement

Benefits

  • Health and financial benefits
  • Commuter support
  • Employee assistance programs
  • Tuition assistance
  • Employee resource groups
  • Collaborative workspaces
  • Flexibility for work-life balance
  • Company culture based on learning and support

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What This Job Offers

Job Type

Full-time

Industry

Professional, Scientific, and Technical Services

Education Level

Bachelor's degree

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