US Service Operations Analyst

athenahealth•Belfast, ME

6d•$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. US Service Operations Analyst We are looking for a US Service Operations Analyst to join the Authorization Management team here at athenahealth. In this role, the US Service Operations Analyst will be responsible for managing and resolving authorization-related work that directly supports successful patient care delivery and optimized revenue cycle performance. This includes processing authorization requests, verifying medical necessity requirements, and resolving prior authorization barriers escalated from internal stakeholders or health plan partners. Using established workflows and best practices, the US Service Operations Analyst will ensure timely and accurate authorization determinations to help create a system that delivers accessible, high‑quality, and sustainable healthcare. This individual’s responsibilities will include analyzing and resolving authorization requests within required timeframes, identifying patterns that contribute to delays or denials, and escalating improvement opportunities to the appropriate teams. The US Service Operations Analyst will be detail‑oriented, efficient, and committed to high‑quality work. This individual will bring a collaborative mindset, strong critical‑thinking skills, and a desire to build deep subject‑matter expertise within authorization management. The Team: The Authorization Management team supports seamless patient access and clean claim performance by ensuring required authorizations are secured in advance of service. The team investigates root causes of authorization delays and denials, partners cross‑functionally with clinical and operational groups, and delivers data-driven recommendations that improve authorization accuracy, timeliness, and compliance with payer requirements.

Requirements

2+ years of professional experience (healthcare or authorization experience strongly preferred).
Strong written and verbal communication skills.
Proficiency with Microsoft Office Suite and strong general computer skills.
Effective interpersonal and business communication abilities.
Strong organizational skills and the ability to manage multiple priorities.
Demonstrated critical thinking and problem‑solving capabilities.
Ability to work independently while contributing to a cross‑functional team.
Experience collaborating across teams to achieve shared goals.
Flexibility and adaptability in response to business and payer changes.
Demonstrated initiative, tenacity, and accountability.
High attention to detail and commitment to accuracy
Comfort level with learning new tools, such as AI specific resources

Responsibilities

Reviews, submits, and manages prior authorization requests through payer portals, EHR systems, and related applications.
Ensures accurate data entry and documentation for all authorization activities.
Maintains expert knowledge of assigned payer rules, medical necessity criteria, and authorization workflows.
Works with cross‑functional stakeholders—including internal partners—to resolve authorization issues.
Proactively removes obstacles to ensure authorizations are completed within required turnaround times.
Prioritizes workload effectively in a fast‑paced, high‑volume environment.
Demonstrates adaptability and flexibility as payer rules and business needs evolve.
Maintains rigorous attention to detail and consistently meets quality expectations.
Lives and models organizational values and professional behavior.
Identifies patterns causing authorization delays, denials, or rework.
Surfaces workflow gaps and contributes to process improvement discussions.
Evaluates alternatives and applies sound judgment when resolving unique or complex authorization scenarios.
Communicates insights and recommendations clearly and professionally.
Uses all available tools, systems, and resources to research and solve problems.
Tracks and reports recurring issues to appropriate teams for resolution.
Navigates internal and external payer relationships with professionalism

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.

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