Join us as we work to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all.
Role Summary:
The Business Analysis Associate will be responsible for identifying and transforming client and payer requirements into business logic our development team will utilize to create and maintain industry leading billing rules that generate superior results. Requirements may be identified through client requests, internal insights, or data trends.
This individual has a combination of strong solution design skills, technical facility, analytical thinking skills, intense curiosity, and thrives on optimizing product and processes to maximize client value and operational efficiency. This individual should have experience with revenue cycle, claim formatting, and billing requirements. The Associate should demonstrate excellent communication skills, be detail oriented, understand how to manipulate and utilize large data sets, have a keen ability for solving business problems via independent analysis, and enjoy managing simultaneous projects with competing priorities and multiple stakeholders.
Team Summary:
The Network Performance Optimization (NPO) team empowers athenahealth to deliver industry-leading clean claim performance by implementing, influencing, and guiding upstream interventions that ensure the submission of clean claims with minimal work.
Essential Responsibilities:
Research, design, and test claim billing logic to prevent claim rejections, denials, and billing work
Grow and maintain athena’s library of insurance billing rules to minimize disruption to clients and internal teams
Evaluate, prioritize, and act upon insights from clients, internal teams, and data to improve client and operational outcomes
Management of and execution against problems of limited to moderate scope to research and improve specific areas of poor billing performance or drive process improvement
Work effectively with stakeholders within and external to the NPO team to share billing expertise and collaborate on finding solutions to client needs.
Analyze complex data sets, identifying trends and proactively developing solutions to globally felt customer issues
Expected Education & Experience:
Bachelor’s degree or 3-5 years of experience in an insurance or medical coding field
Experience solving complex healthcare billing problems involving revenue cycle, claim formatting, and coding requirements
Certified Professional Coder (CPC) certification is a plus
Mastery of Microsoft Office applications, including Outlook, Word, Excel, and PowerPoint
Familiarity and comfort with web/software applications and a basic understanding of cloud-based SaaS
Knowledge & Skills:
Ability to assess large amounts of information, identify trends, and break information into key components
Capable of transforming business requirements into logic statements
Must be highly motivated and able to work independently as well as part of an extended, cross-functional team
Understanding of the process of medical billing and medical terminology
Excellent verbal and written communication skills
Passion for customer service, problem solving, and solution design
Ability to prioritize and to multi-task in a fast-paced environment, manage competing priorities and communicate potential conflicts to manager
Capable of managing simultaneous projects with multiple stakeholders
Maintain a curiosity on how things work and a willingness to dive deeper
For candidates located in California, Colorado, Hawaii, Jersey City (NJ), New York City, Westchester County (NY), and Washington, please visit the following link for pay range information:
California: https://www.athenahealth.com/salary-range/ca-nontech-associate
Colorado: https://www.athenahealth.com/salary-range/co-nontech-associate
Hawaii: https://www.athenahealth.com/salary-range/hi-nontech-associate
New Jersey: https://www.athenahealth.com/salary-range/nj-nontech-associate
New York: https://www.athenahealth.com/salary-range/ny-nontech-associate
Washington: https://www.athenahealth.com/salary-range/wa-nontech-associate
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
https://www.athenahealth.com/careers/equal-opportunity
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What We Do
athenahealth strives to cure complexity and simplify the practice of healthcare. Our innovative technology includes electronic health records, revenue cycle management, and patient engagement solutions that help healthcare providers, administrators, and practices eliminate friction for patients while getting paid efficiently. athenahealth partners with practices with purpose-built software backed by expertise to produce the insights needed to drive better clinical and financial outcomes. We’re inspired by our vision to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all.
For more information, please visit www.athenahealth.com
Why Work With Us
We are here to make an impact on the healthcare industry at scale. We enable our diverse teams to move fast, grapple with interesting technical challenges, and innovate at every level. We are on a modernization journey and build on the hybrid cloud. We deliver best-in-class solutions to help every patient receive the best possible care.
