Senior Operations Analyst

Senior Operations Analyst

Join us as we work to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all.

Athenahealth offers a variety of Revenue Cycle Management services to its clients in supporting their continued revenue growth. Operations teams takes the lion share of the overall spends of the company. Senior Operations Analyst is responsible for driving work and executing on the tasks in an accurate and timely manner as dictated by our expectations from our customers.

Essential Functions (Duties and Responsibilities):

75% Resolve outstanding health insurance claims or documentation issues through analysis and co-ordination with relevant teams.

• Communicate with payers effectively and/or adhere to payer guidelines to achieve timely determinations.
• Perform tasks or related responsibilities and achieve desired output on specified process in healthcare RCM.
• Achieve desired quality of service as required by standard operating procedure and support in continuous performance improvement to offer best quality services.
• Responsible to maintain important logs and documentation regarding the details of the tasks performed.
• Support an environment of accountability and management against goals.
• Collaborate with cross-functional teams to resolve issues identified from day to day working of claims.

15% Identify and quantify work trends.

• Propose solutions to improve internal processes to facilitate a "touchless" revenue cycle.
• Work with internal teams across the Operations Division to prioritize and implement process improvements appropriately prioritized based on impact and business need.

10% Accept full ownership and responsibility for special projects

• Work with internal stakeholders and client-facing teams to identify and resolve claim issues impacting individual clients and/or discrete lines of business.
• Communicate effectively the status and resolution of any special projects, adhere to established timelines, and serve as a valued subject matter expert for internal teams.

Education & Experience Required:

• Bachelor's degree or equivalent (Life science background)
• 3-6 years' experience in fast paced environment
• Solid understanding of Anatomy & Physiology
• Comprehensive understanding of medical terminology
• Prior experience in processing multispecialty authorizations including contact with payers.
• Willing to work in the night shift.

Knowledge & Skills:

• Healthcare RCM knowledge, preferred.
• Analytical skills and good communication skills
• Ability to clearly articulate actions taken and articulate next steps.
• MS office skills, required.

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: