Denials Operations Associate

Denials Operations Associate at Athenahealth summary:

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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.

Essential Functions (Duties and Responsibilities):

50% 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

45% 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

5% 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

Education & Experience Required:

• 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

Knowledge & Skills:

• Proficiency in Microsoft Office Suite: Excel, PowerPoint, Word, Outlook, OneNote

• Knowledge of Lean Six Sigma and Agile development methodologies preferred

• SQL experience preferred

Expected Compensation

The base salary range shown reflects the full range for this role from minimum to maximum. At athenahealth, base pay depends on multiple factors, including job-related experience, relevant knowledge and skills, how your qualifications compare to others in similar roles, and geographical market rates. Base pay is only one part of our competitive Total Rewards package - depending on role eligibility, we offer both short and long-term incentives by way of an annual discretionary bonus plan, variable compensation plan, and equity plans.

About athenahealth

Our vision: In an industry that becomes more complex by the day, we stand for simplicity. We offer IT solutions and expert services that eliminate the daily hurdles preventing healthcare providers from focusing entirely on their patients — powered by our vision to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all.

Our company culture: Our talented employees — or athenistas, as we call ourselves — spark the innovation and passion needed to accomplish our vision. We are a diverse group of dreamers and do-ers with unique knowledge, expertise, backgrounds, and perspectives. We unite as mission-driven problem-solvers with a deep desire to achieve our vision and make our time here count. Our award-winning culture is built around shared values of inclusiveness, accountability, and support.

Our DEI commitment: Our vision of accessible, high-quality, and sustainable healthcare for all requires addressing the inequities that stand in the way. That's one reason we prioritize diversity, equity, and inclusion in every aspect of our business, from attracting and sustaining a diverse workforce to maintaining an inclusive environment for athenistas, our partners, customers and the communities where we work and serve.

What we can do for you:

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.

Learn more about our culture and benefits here: athenahealth.com/careers

Keywords:

denials management, revenue cycle operations, business process improvement, healthcare project manager, Lean Six Sigma, SQL for analytics, stakeholder management, operations associate