athenahealth is seeking candidates for Operations Analyst (GEN) positions in Belfast, ME.
Qualifications: An ideal candidate will possess the skills necessary to provide consistent, effective customer service support. All candidates must possess a strong desire to learn, as well as embrace athenahealth's unique problem-solving and creative-solutions based approach to our work while adhering to our Corporate Compliance Code. Applicants should be excited by the prospect of working in a dynamic environment of continual change/improvement, driven by our rapid rate of growth. As such, qualified candidates must possess strong analytical, communication, and organizational skills, and be detail oriented, in order to provide on-going support in the client service department.
The Operations Team consists of six departments: Claim Resolution, Client Services, Clinical Operations, Enrollment, Posting, and Remittance & Image Processing. The Operations Analyst responsibilities within each department vary based upon department function; however, the core skills required are the same. By applying for this “general” Operations Analyst role, you will be considered for current openings we may have in any of these departments.
An overview of the departments and responsibilities follows:
The Operations Analyst within the Claim Resolution department is titled Revenue Analyst and is responsible for researching and resolving unpaid or denied claims. This is achieved primarily through working a queue of claims in line with specified turn-around-times, and in compliance with department policies and processes. These resolution efforts consist of (1) outbound phone calls and/or (2) using on-line data, to drive analysis and gather information that will prompt accurate claim processing. The Revenue Analyst also aggregates data and monitors activity for trends that can be used to identify opportunities to prevent future unpaid or denied claims.
The Client Services Analyst is responsible for assisting athenahealth’s customers with their problems and/or questions. These inquiries can occur via inbound phone calls or email. The Client Service Analyst is responsible for resolving customer inquiries either immediately while on the phone with the customer or via cases when the issue is more complex in nature. The Client Service Analyst needs to have a thorough understanding of all services lines offered by athenahealth and which functional areas are responsible for what work. Additionally the Client Service Analyst must be able to work cross-functionally to continuously improve our services and to resolve customer inquiries.
The Operations Analyst within the Clinical Operations department is titled Clinical Operations Analyst and is responsible for testing and processing data for the early adopters of athenaClinicals. The Clinicals team is currently creating a product designed to make providers’ lives easier, and includes such service lines as fax/document management, data entry, order/results management, coding guidance and patient population management for health maintenance/disease management, etc. The ultimate goal is to increase the quality of care while simultaneously increasing cash flow to the provider's office.
Enrollment The Operations Analyst role within the Enrollment department is titled Enrollment Analyst and is responsible for the accurate research of and execution against, payer and vendor-specific provider data verification, electronic transactions enrollment and pay-to address requirements within department turn-around times. Enrollment Services employees are responsible for verifying provider data and enrolling providers for an increasing number of electronic transactions to allow for cleaner submission of claims and quicker reimbursement for services. These verifications generally occur via outbound phone calls or using online data.
The Operations Analyst within the Posting department is titled Transaction Resolution Analyst and is primarily responsible for researching the quality of posted insurance and patient remittance advice/explanation of benefits, and addressing both internal and external inquiries related to the quality of remittance processing for clients. This includes reviewing payments and/or denials posted to determine whether errors have occurred, researching and understanding payer and posting issues and identifying, documenting and communicating existing and potential problems and trends in the quality of remittance processing.
Remittance & Image Processing
The Operations Analyst within the Remittance & Image Processing department is titled Remittance Analyst and is charged with the mission of managing deposit reconciliation and post deposit workflows, problem analysis/resolution and developing/implementing continuous process improvement to ensure athenahealth is the leading provider of high quality remittance processing services.
Skills for Operations Analysts required, but not limited to: