Denials US Service Operations Analyst

athenahealth•Belfast, ME

3d•Hybrid

About The Position

Join us as we work to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all. We are looking for a US Service Operations Analyst to join the Denials team. In this role, the Denials US Service Operations Analyst will review assigned work, research issues, coordinate with internal partners, and help improve workflows that support revenue cycle performance. As part of this team, the US Service Operations Analyst helps keep critical operational work moving by managing assigned queues, researching issues, and supporting accurate resolution across service processes. The role connects day-to-day execution with broader business results by helping identify trends, improve workflow reliability, and support efficient follow-through. This is a strong opportunity for someone who enjoys problem-solving, working across teams, and contributing to process improvement in a fast-moving environment. This role is based in Belfast, ME and follows a hybrid work model. This position reports to the US Service Operations Manager. The Team: The Denials Team is the revenue-recovery and prevention engine within Revenue Cycle Operations. We triage and resolve denied claims quickly and accurately, recover lost revenue through appeals and corrected submissions, and stop recurring denial drivers by identifying root causes and partnering with upstream teams. Our work balances short-term impact (recovering dollars and improving cash flow) with long-term prevention (process improvements, payer playbooks, and staff coaching) so the organization sustains better billing accuracy and fewer interruptions to cash collection.

Requirements

1+ years of experience in healthcare operations, revenue cycle, claims, remittance, accounts receivable, service operations, or a related field
Relevant professional experience preferred.
Effective oral and written communication skills and strong interpersonal skills.
Strong planning and organizational abilities.
Time management skills and ability to prioritize work based on criticality.
Critical thinking and problem-solving skills.
Ability to work independently and collaboratively with cross-functional teams.
Experience working with cross-functional groups to achieve common goals.
Flexibility and adaptability in response to changing priorities and business needs.
Ability to maintain accuracy in work requires close review of details.

Responsibilities

Review assigned operational work queues and tasks to support timely and accurate completion of service-related activities.
Research account, claim, payment, or workflow information to identify issues and determine appropriate next steps.
Prioritize work based on urgency, criticality, and business impact to meet operational goals.
Communicate clearly with internal stakeholders to share updates, clarify issues, and support resolution.
Collaborate with cross-functional teams to address workflow barriers, resolve operational issues, and support shared goals.
Apply critical thinking and problem-solving skills to evaluate issues and recommend practical solutions.
Document work, findings, and updates accurately to support consistency and effective follow-through.
Identify recurring issues and process improvement opportunities that can improve operational efficiency and outcomes.
Manage assigned responsibilities independently while contributing to team priorities and service goals.
Use AI tools, when available, to help organize work, summarize issue trends, or draft routine communications more efficiently, while reviewing outputs carefully and maintaining responsibility for final decisions and actions.