Posting Issue Resolution Analyst job - athenahealth - Belfast, ME

The Transaction Resolution Analyst 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 athenaNet BasicPlus and Collector clients.

The Transaction Resolution Analyst will report directly to the RTS Posting Supervisor.

Responsibilities may include, but are not limited to: Review payments and/or denials posted to determine whether errors have occurredResearch and understand payor and posting issuesIdentify, document, and communicate existing and potential problems and trends in the quality of remittance processingCompile information regarding errors for the RPO Posting Manager and, ultimately, vendor/payment posting specialistsComplete reports on a weekly, monthly, and ad hoc basisResolve Sugar.com (CRM) cases and other internal posting requestsResolve posting exception items on behalf of athena’s clientsResolve unpostable itemsDocument client and product-specific posting procedures to ensure internal staff and vendor are provided with required training materialsRecommend process improvements to continually increase the accuracy rateIncrease client satisfaction and collectionsAct as a liaison to the Client Services Center and Collector ServicesOther duties as assigned by the RPO Posting Manager.Required of all employees of Posting: Understanding of the needs of our clients and how attainment of our goals will meet those needsFocus on quality of service as our driving principleUnderstanding the business need to set and attain ever more challenging goalsUnderstanding of, and dedication to, continuous improvement of our processes and ourselves to support athena’s missionEagerness to participate in change-oriented endeavors geared toward expanding our capabilitiesWillingness, as part of a team, to personally provide at least 51% of the commitment and effort required to solve a problemWillingness to vary job responsibilities as required to meet the needs of our clientsDesire to learn as much as possible about our core systemsMastery of all Microsoft Office applications, including Outlook, Word, Excel and PowerpointProficiency with Visio

Required of all athenahealth employees:
The Transaction Resolution Analyst must adhere to the business and cultural goals required by all employees of athenahealth.

Performance: Dedication to the corporate mission to become the most trusted and effective business service to health care providers in the worldCommitment to athenahealth’s social mission to improve the quality of healthcare for allCommitment to athenahealth’s Corporate Compliance Code, including escalation of all compliance issues through the chain of command and to the company’s Compliance Officer and/or General CounselUnconditional support of athenahealth’s cultural mission to be a community of teachers, learners and winners, including: Belief in the primacy of the group over the individual – that “super-performers” are those who most help the performance of those around them rather than those who produce the most themselvesCreating a virtuous circle of learning and innovation through fostering his/her innate curiosity and desire to: 1) master his/her job, 2) innovate in his/her area of responsibility, whatever its scope and 3) teach other athenistas about what s/he has learnedDemonstrate unconditional positive regard for the personal worth (distinct from a particular individual’s actions) of all other athenistas, and act accordinglyFueled by the passionate desire to make his/her role and athenahealth a terrific success, every athenahealth employee will do what it takes to get the job done, including sometimes working unpredictable, long hours to perform a diverse array of tasks

Skills: High level understanding of the three major services lines and of the organization’s responsibility for delivering on themUnderstanding of the Balanced Scorecard and each department’s responsibilities under itExcellent communication skills (particularly listening and speaking)Maniacal attention to detailWilling/excited to work in a fast-paced, but sometimes intense, rapidly expanding companyStrong computer literacy and/or the comfort, ability and desire to advance technicallyBachelor’s degree preferredDemonstrated ability to perform work of analytical, detailed, and logical natureExperience with data collection and miningExcellent analytical and problem solving skillsTalent for tackling problems from identification through resolutionBackground in report creation and spreadsheet analysisProven ability to meet deadlines in a fast-paced environmentExperience using multiple mediums to resolve daily tasksSuperior communication skillsHigh degree of comfort in Internet and MS Office environmentsOrganizationObsessive attention to detailDriveComfortable working in a professional, diverse corporate settingAbility to maintain poise and a sense of humor in stressful situationsUnderstanding of the process of medical billing and medical terminology, a plusExperience with athenaNet and Salesforce.com (or other CRM), a plus

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.