Associate, Revenue Cycle Case & Escalation Management - Claim Resolution at athenahealth

Boston, Massachusetts, United States -

Full Time

Start Date

Immediate

Expiry Date

31 Jan, 26

Salary

98000.0

Posted On

02 Nov, 25

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Customer-Centric Mindset, Strong Communication Skills, Problem-Solving, Data Analysis, Project Management, Medical Billing Knowledge, Coding Systems Knowledge, Medical Terminology, Anatomy Knowledge, Proficient in Excel, Collaboration, Continuous Learning, Attention to Detail, Workflow Improvement, Client Advocacy, Root Cause Analysis

Industry

IT Services and IT Consulting

Description

Join us as we work to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all. Job Title: Associate, Revenue Cycle Case & Escalation Management - Claim Resolution Position Summary: Join our dynamic Revenue Cycle Case and Escalation Management (RCCEM) team, where you will play a pivotal role in tackling our most complex and sensitive client issues. As the final escalation point, our team is dedicated to researching and resolving challenges that require a keen eye for detail and a commitment to excellence. In this role, you will be at the forefront of driving actionable insights across Product and Revenue Cycle Management, ensuring that our product and services not only meet but exceed athenahealth's value proposition and the expectations of our clients. Your contributions will be essential in creating visibility into case performance, fostering consistency in terminology and measurement, and championing initiatives that enhance case resolution performance. At athenahealth, we pride ourselves on our innovative spirit and solution-oriented mindset. We thrive in a collaborative environment that embraces continual change and improvement, fueled by our rapid growth. If you are a naturally curious individual with a strong desire to learn and grow, this is the perfect opportunity for you to make a significant impact while collaborating with passionate colleagues. Join us in shaping the future of healthcare solutions! Essential Functions (Duties and Responsibilities): Customer Focus Follows team expectations and methodology to manage complex issues and escalations to resolution using the CRM platform (Salesforce). Maintains consistent communication with internal and external stakeholders including direct customer communication. Provides feedback to improve service delivery, service offerings, and/or product. Analytical Thinking Leverages wide breadth of existing tools and resources efficiently and effectively to troubleshoot issues. Suggests workflow and quality improvements to reduce case inflow and improve client sentiment. Plans and Aligns (Project Management) Develops a plan identifying tasks and reasonable timelines Determines appropriate prioritization for completing work. Assigns tasks appropriately across teams. Identifies potential obstacles or challenges Support Others Contributes to continuous learning by actively participating in team operating mechanisms, such as teams channels, meetings, office hours, and working sessions. Shares content knowledge and best practices to assist your peers. Education & Experience Required: An ideal candidate will have medical billing/US healthcare experience or have demonstrated the ability to rapidly learn the foundational concepts of US healthcare and medical billing. Bachelor's degree or equivalent experience Knowledge & Skills: Customer-centric mindset characterized by empathy, collaboration, and advocacy. Strong written and verbal communication skills, enabling effective interaction with all organization level and stakeholders. Expertise in problem-solving, with the ability to analyze large data sets to identify root causes and trends. Proven capability to analyze data, surface trends and insights, and provide actionable recommendations. Ability to work independently and as part of a team, knowing when to involve others for effective problem-solving. Strong project management skills, including planning and aligning tasks, resources, and timelines. Tenacious and accountable, able to navigate complexity and overcome obstacles. Knowledgeable in coding systems (ICD-10, CPT, HCPCS), medical terminology, anatomy, and physiology. Proficient in Excel and other business tools (Smartsheets, Google tools, SharePoint, etc.) Expected Compensation $58,000 - $98,000 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 https://www.athenahealth.com/careers/equal-opportunity United by our mission and driven by our entrepreneurial spirit, our work at athenahealth is collaborative, transformative, and above all, it’s meaningful. Our employees take pride in using technology and data-driven insights to inspire changes that will make the U.S. healthcare system better for everyone, including your friends, family and maybe even you. Notice to Job Seekers/Job Candidates: Recruitment Fraud Alert Please be aware of questionable job offers that are not affiliated with athenahealth. athenahealth has been made aware of unauthorized career opportunities offered by individuals posing as representatives of larger U.S. companies, including athenahealth. The fictitious jobs are advertised on employment-search websites, such as Indeed.com and Craigslist.com, and prospective employees are required to share their personal and financial information (e.g. credit card, bank information), provide copies of their government-issued identification, and/or send money for application fees, processing charges or work permits. The victims who are told they are "hired" are often instructed to deposit a check (which is later returned as fraudulent) into their own account and to forward overpayment to individuals - usually via wire transfer. Important information for job seekers: athenahealth has a formal application process and we do not request you to interview on a Google Hangout or via text messaging. athenahealth will never request money for the opportunity to apply or work for athenahealth. athenathealth does not require completion of tax forms, bank account or credit card information as part of the recruiting process. If you feel that you have been a victim of such a scam, please send an email to: askhr@athenahealth.com

Responsibilities

The Associate will manage complex client issues and escalations, ensuring effective resolution through detailed research and communication. They will drive actionable insights across Product and Revenue Cycle Management to enhance case resolution performance.