Denials Inflow Prevention Associate

athenahealth•Boston, MA

6d•$59,000 - $101,000•Hybrid

About The Position

We are looking for a Denials Inflow Prevention Associate to join the Denials Prevent and Inflow Mitigation team within our RCM Admin division. In this role, the Denials Inflow Prevention Associate will be responsible for identifying, analyzing, and addressing the root causes of claim denials to improve operational performance and client outcomes. This individual will partner across Operations, Product, and external Partners to develop prevention strategies, implement process improvements, and drive initiatives that reduce denials and enhance revenue cycle performance. The Denials Inflow Prevent Associate will combine data-driven analysis, project leadership, and stakeholder collaboration to deliver scalable solutions that improve efficiency and customer value. Success in this role requires strong critical thinking, business acumen, and the ability to influence cross-functional teams.

Requirements

Bachelor's degree preferred
3+ years of professional experience in healthcare operations, revenue cycle management, or a related field.
Experience analyzing claim denials and revenue cycle processes.
Demonstrated success leading cross-functional projects and influencing stakeholders to achieve business objectives.
Experience working directly with internal and/or external customers to improve operational outcomes.
Strong analytical, communication, and presentation skills with proficiency in Microsoft Office Suite (Excel, PowerPoint, Word, Outlook, OneNote).

Nice To Haves

Experience with Lean Six Sigma, Agile methodologies, and SQL is preferred.

Responsibilities

Analyze quantitative and qualitative data to identify root causes of claim denials and operational challenges.
Lead cross-functional initiatives that improve denial prevention, operational efficiency, and client outcomes.
Design and implement scalable process improvements, emphasizing automation, work prevention, and product enhancements.
Develop business cases, project plans, success metrics, and executive-ready presentations to drive stakeholder alignment and project execution.
Partner with internal and external stakeholders to identify customer needs, prioritize improvements, and optimize service delivery.
Monitor performance trends, communicate actionable insights, and recommend solutions that enhance operational effectiveness.