Denials Analyst

athenahealth • Belfast, ME

1d • $30,000 - $52,000

About The Position

Join us as we work to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all. Position Summary: The Denials Management Operations Analyst 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 are process improvement driven. About the Team: The Rejection and Denial Analysis team empowers athenahealth to deliver industry-leading clean claim performance by identifying and investigating the drivers of rejections and denials, delivering and managing a robust, cross-functional feedback loop of data-driven opportunities that enable effective prevention and management.

Requirements

• 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
• 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

Responsibilities

• 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
• 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
• Participates in training opportunities by leveraging appropriate growth
• Shares useful information and guidance with teams
• 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

Benefits

• Along with health and financial benefits, athenistas enjoy perks specific to each location, including commuter support, employee assistance programs, tuition assistance, employee resource groups, and collaborative workspaces — some offices even welcome dogs.
• We also encourage a better work-life balance for athenistas with our flexibility.
• While we know in-office collaboration is critical to our vision, we recognize that not all work needs to be done within an office environment, full-time.
• With consistent communication and digital collaboration tools, athenahealth enables employees to find a balance that feels fulfilling and productive for each individual situation.
• In addition to our traditional benefits and perks, we sponsor events throughout the year, including book clubs, external speakers, and hackathons.
• We provide athenistas with a company culture based on learning, the support of an engaged team, and an inclusive environment where all employees are valued.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Number of Employees: 1,001-5,000 employees