Claim Resolution Associate job - athenahealth - Belfast, ME

Responsibilities may include, but are not limited to: Independently develop and execute project plans related to department goals;Document business requirements for key workflows and process points;Support the design, implementation and management of workflows to facilitate claim resolution and improve quality;Support an environment of accountability and management against goals;Collaborate with cross-functional teams to develop creative solutions to complex claim resolution issues;Research, identify and isolate issues through data extraction, manipulation, and analysis;Design and implement new analytic methodologies and problem solving workflows;Review claim notes and audit histories, conduct supplemental research and analysis, and process large amounts of information in order to take appropriate next actions on claims;Develop and maintain policies, procedures, training tools and operational workflows;Develop and maintain productivity and process impact reporting;Identify payer trends;Identify, recommend and enact opportunities for learning and teaching within the department;Other duties as assigned by the Senior Manager, Claim Resolution.QualificationsAt least 3-5 years of work experience;Bachelor’s degree or equivalent experience;Demonstrated capability to problem solve and develop process within the specific context of athenaNet’s payer resolution guides;Strong communication skills and an ability to effectively engage and work with members of internal and offshore teams as well as payor representatives;Demonstrated ability to perform work of analytical, detailed, and logical nature;Excellent analytical and problem solving skills;Talent for tackling problems from identification through resolution;Proven ability to meet deadlines in a fast-paced environment;High degree of comfort with the Internet and MS Office environments and the ability and desire to advance technically;Organization;Obsessive attention to detail;Drive;Comfortable working in a professional, diverse corporate setting;athenahealth, Inc. is a leading provider of web-based business services for medical groups. athenahealth’s service offerings are based on proprietary web-native practice management and electronic health record (EHR) software, a continuously updated payer knowledge-base, integrated back-office service operations, and automated and live patient communication services.