Denials Operations Associate

athenahealth • Boston, MA

1d • $59,000 - $101,000

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 Operations Associate will be responsible for the delivery and execution of business solutions within our operations division. Your mission will be to propose and implement solutions to improve customer experience and outcomes. To succeed, you are a strong analytical problem solver, an excellent communicator, and a proficient project manager. The Associate is a critical thinker who creates business cases, influences stakeholders, and demonstrates command of technical and industry knowledge. The Associate will manage and influence project teams to action, balancing urgency while cultivating lasting collegial relationships.

Requirements

• Bachelor’s Degree (or commensurate level of professional experience)
• 3-5 years of professional experience
• Experience working denials or within the revenue cycle
• Experience working with cross-functional groups and teams to achieve common goals and communicating and presenting to stakeholders
• Demonstrated ability to assume sole and independent responsibility for various projects
• Experience interfacing with internal or external customers to achieve a desired objective
• Proficiency in Microsoft Office Suite: Excel, PowerPoint, Word, Outlook, OneNote

Nice To Haves

• Knowledge of Lean Six Sigma and Agile development methodologies preferred
• SQL experience preferred

Responsibilities

• Business Analysis and Process Improvement Use data analysis and qualitative evaluation to determine root causes of a problem
• Analyze trends to deliver clear and compelling data stories to stakeholders
• Design elegant solutions that favor automation, work prevention, and product enhancement over manual workflows
• Seek and consume internal and external client feedback to inform decision making and improvement opportunities
• Identify opportunities to expand the value we provide to clients through more or better service(s) using your understanding of customer business problems
• Design and implement workflows to define and improve business processes
• Project & Stakeholder Management Lead initiatives and projects that improve client and operational outcomes over a planning cycle, representing broad subject matter expertise
• Creates and curates project plans and initiative roadmap, balancing and setting clear stakeholder expectations and proactively identifying areas of risk
• Ensure success by leading execution across the company - including commercial, R&D, and operations
• Identify metrics and define success criteria to create transparency and visibility into program success and/or improvement areas
• Interface with internal and external stakeholders as needed to remediate pain points and optimize desired outcomes
• Discover customer requirements and improve the service by incorporating feedback into product and service prioritization
• Present project purpose, updates, and outcomes to Operations and stakeholder leadership, demonstrating command over all components of the project
• Mentorship and Training Provide support, mentoring, and ongoing education opportunities for new hires and colleagues across Operations, creating content and collateral as needed
• Shares role specific content knowledge
• Actively participates with team and engages peers in learning and understanding

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
• We also encourage a better work-life balance for athenistas with our flexibility.
• 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: Mid Level