Claims Case Management Associate
About You: Ambitious, articulate and creative. Loves analyzing big problems and uncovering key business insights. You pride yourself on not only being able to bring the right tools and methods to bear on problems, but to learn or even create new tools and methods when the need arises. However, at the end of the day, you care most about making a difference.
Keywords relevant to you:

• Health Informatics, Health Policy, Healthcare Reform
• Project Management, Analytics, Business Intelligence, Operations Improvement

• Project Juggler, Eager Learner
• Customer Relationship Builder, Confident Presenter

About Us: athenahealth is a pioneering company in electronic medical records and health practice management; all under a single-instance, cloud-based, software-enabled services platform. We are building the first national health information backbone to improve healthcare delivery and develop new healthcare applications.
Claims Case Management Associate Position: You will serve as athenahealth’s internal resource for investigation, communication, and management of complex payer and industry changes and the impact on the healthcare billing workflow. Part of this will be completed by maintaining and enhancing the "Rules Engine" (a repository of payer, coding and formatting intelligence, and accumulated knowledge) and/or the knowledge needed to keep this engine up-to-date. As part of the team you will be a guardian of the knowledge put into the Rules Engine, protecting a key product differentiator and one of athenahealth’s important assets.
Responsibilities:

• Strong willingness and aptitude for learning new concepts and analytic approaches
• Identify trends for individual providers, enterprise level clients, and payers/clearinghouses and report custom findings
• Analyze trends and resolve root-cause issues by working externally with vendors, payers, as well as coordinating with key leaders internally at athenahealth
• Drive substantial research and/or analysis projects while acting as a liaison with software development and product innovation resources to ensure the successful realization of business requirements
• Implement claims rules and other performance improvement measures based on denial and payer research
• Become a go-to resource for in-depth understanding of the healthcare claim process, focusing on payer information
• Conduct payer outreach and research activities and maintain active payer relationships
• Report on specific athenaNet product activity, industry insights, and metrics for operations
  • Demonstrate ability in building customized internal reporting using available tools
• Prioritize, process, and resolve complex payer and provider issues to optimize client and organizational performance
• Create innovative solutions to complex billing problems, which may span the Clinical or Collector products
  • Provide recommendations regarding new intiatitives
• Become an expert on athenahealth’s business processes and structures
• Be an active participant in athena’s teaching and learning culture
• Develop a “trusted advisor” reputation across athenahealth

Qualifications

• Ability to formulate hypotheses, draw conclusions and deliver results
• Excellent organizational skills, analytical abilities, and strong attention to detail
• Capacity to plan, prioritize, and shift focus rapidly
• Proven ability to work both independently on projects and as part of the larger team
• Flexibility to take on new tasks and challenges
• Ability to instruct others, especially peers and clients to explain process workflow concepts using clear communication
• Bachelor’s degree in Public Health, Health Informatics, Economics, Statistics, Engineering, Computer Science or other quantitative field, plus 2+ years of relevant experience; or Master’s/PhD/ScD in a similar fields
• Comfortable working in a corporate setting populated by divers types of backgrounds and able to maintain poise and a sense of humor
• Mastery of all Microsoft Office Applications
• Healthcare experience is not required; you will learn from A-team colleagues!

Culture: Culture is our greatest asset: we look for energetic, forward thinking and supportive team players. If you’re hungry to learn and grow, you’ll be a great fit.

Claims Case Management Associate
About You: Ambitious, articulate and creative. Loves analyzing big problems and uncovering key business insights. You pride yourself on not only being able to bring the right tools and methods to bear on problems, but to learn or even create new tools and methods when the need arises. However, at the end of the day, you care most about making a difference.
Keywords relevant to you:

• Health Informatics, Health Policy, Healthcare Reform
• Project Management, Analytics, Business Intelligence, Operations Improvement

• Project Juggler, Eager Learner
• Customer Relationship Builder, Confident Presenter

About Us: athenahealth is a pioneering company in electronic medical records and health practice management; all under a single-instance, cloud-based, software-enabled services platform. We are building the first national health information backbone to improve healthcare delivery and develop new healthcare applications.
Claims Case Management Associate Position: You will serve as athenahealth’s internal resource for investigation, communication, and management of complex payer and industry changes and the impact on the healthcare billing workflow. Part of this will be completed by maintaining and enhancing the "Rules Engine" (a repository of payer, coding and formatting intelligence, and accumulated knowledge) and/or the knowledge needed to keep this engine up-to-date. As part of the team you will be a guardian of the knowledge put into the Rules Engine, protecting a key product differentiator and one of athenahealth’s important assets.
Responsibilities:

• Strong willingness and aptitude for learning new concepts and analytic approaches
• Identify trends for individual providers, enterprise level clients, and payers/clearinghouses and report custom findings
• Analyze trends and resolve root-cause issues by working externally with vendors, payers, as well as coordinating with key leaders internally at athenahealth
• Drive substantial research and/or analysis projects while acting as a liaison with software development and product innovation resources to ensure the successful realization of business requirements
• Implement claims rules and other performance improvement measures based on denial and payer research
• Become a go-to resource for in-depth understanding of the healthcare claim process, focusing on payer information
• Conduct payer outreach and research activities and maintain active payer relationships
• Report on specific athenaNet product activity, industry insights, and metrics for operations
  • Demonstrate ability in building customized internal reporting using available tools
• Prioritize, process, and resolve complex payer and provider issues to optimize client and organizational performance
• Create innovative solutions to complex billing problems, which may span the Clinical or Collector products
  • Provide recommendations regarding new intiatitives
• Become an expert on athenahealth’s business processes and structures
• Be an active participant in athena’s teaching and learning culture
• Develop a “trusted advisor” reputation across athenahealth

Qualifications

• Ability to formulate hypotheses, draw conclusions and deliver results
• Excellent organizational skills, analytical abilities, and strong attention to detail
• Capacity to plan, prioritize, and shift focus rapidly
• Proven ability to work both independently on projects and as part of the larger team
• Flexibility to take on new tasks and challenges
• Ability to instruct others, especially peers and clients to explain process workflow concepts using clear communication
• Bachelor’s degree in Public Health, Health Informatics, Economics, Statistics, Engineering, Computer Science or other quantitative field, plus 2+ years of relevant experience; or Master’s/PhD/ScD in a similar fields
• Comfortable working in a corporate setting populated by divers types of backgrounds and able to maintain poise and a sense of humor
• Mastery of all Microsoft Office Applications
• Healthcare experience is not required; you will learn from A-team colleagues!

Culture: Culture is our greatest asset: we look for energetic, forward thinking and supportive team players. If you’re hungry to learn and grow, you’ll be a great fit.