- Perform tasks or related responsibilities and achieve desired output on specified process in healthcare RCM and achieve desired quality of service as required by standard operating procedure. Expectation is to perform this function 25% of the time
- 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
- Analyze and resolve root-cause issues by working with vendors, payers and various athena departments that are stakeholders
- Execute on key quarterly initiatives pertaining to the workflow responsible
- Use baseline research and analysis to advocate for product and process improvement
- Work closely with outside organization to support and solve outstanding process issues through emails, calls, etc. at the capacity of SME
- Make sound decisions to honor or reject specific client requests for new clinical templates
- 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
- 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 special projects, adhere to established timelines, and serve as a valued subject matter expert for internal teams.
- Bachelor's degree or equivalent
- 5-7 years' experience in fast paced environment
- Previous experience in healthcare RCM environment, mandatory
- Healthcare RCM knowledge, mandatory
- Analytical skills and excellent communication skills
- Problem framing and problem-solving skills
- Ability to perform root cause analysis
Operations Associate - Chennai, India - Athenahealth
Description
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, remittances, clinical documents, clinical mapping and or acknowledgements, including those which have been rejected and those for which the status is unknown
15% Identify and quantify work trends
10% Accept full ownership and responsibility for special projects
Education & Experience Required:
Knowledge & Skills:
About athenahealth
Here's ourvision: To create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all.
What's unique about our locations?
From an historic, 19thcentury arsenal to a converted, landmark power plant,allofathenahealth's offices were carefully chosen to represent our innovative spirit and promote the most positive and productive work environment for our teams. Our10offices across the United States and India —plus numerous remote employees —all work to modernize the healthcare experience, together.
Our company culture might be our best feature.
We don't take ourselves too seriously. But our work? That's another story.athenahealth develops andimplements products and services that support US healthcare: It'sour chance to create healthier futures for ourselves, for our family and friends, for everyone.
Our vibrant and talented employees — orathenistas, as we call ourselves — spark the innovation and passion needed to accomplishour goal. We continue to expand our workforce with amazing people who bring diverse backgrounds, experiences, and perspectives at every level, and foster an environment where every athenista feels comfortable bringing theirbestselves to work.
Our size makes a difference, too: We are small enoughthatyourindividual contributionswill stand out— butlarge enoughto grow your career with ourresources and established business stability.
Giving back is integral to our culture. OurathenaGivesplatform strives tosupport food security, expand access to high-quality healthcare for all, and support STEM education to develop providers and technologists who will provide access to high-quality healthcare for all in the future. As part of the evolution of athenahealth'sCorporate Social Responsibility(CSR)program, we've selected nonprofit partners that align with our purpose and let us foster long-term partnerships for charitable giving, employee volunteerism, insight sharing, collaboration, and cross-team engagement.
What can we do for you?
Along with health and financial benefits,athenistasenjoy perks specific to eachlocation, including commuter support, employee assistance programs, tuition assistance,employeeresource groups, and collaborative workspaces — some offices even welcome dogs.
In addition to our traditional benefits and perks, we sponsor events throughout the year, includingbook clubs, external speakers, and hackathons. And weprovideathenistaswithacompany culturebased onlearning,the support of anengaged team,andan inclusive environment where all employees are valued.
We alsoencourage a better work-life balance forathenistaswith our flexibility. Whilewe 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.