Business Analysis Associate

athenahealth; Massachusetts; On-site; USD 65,000 - 95,000; Full time

Job summary

athenahealth is seeking a Business Analysis Associate to optimize healthcare billing processes. This role involves transforming client requirements into actionable business logic, enhancing operational efficiency, and managing projects while collaborating with various stakeholders. Ideal candidates will possess strong analytical skills and a background in healthcare billing.

Benefits

Commuter support

Employee assistance programs

Tuition assistance

Collaborative workspaces

Qualifications

• Strong solution design skills and technical facility.
• Experience with revenue cycle, claim formatting, and billing requirements essential.
• Detail-oriented, with a capability for managing simultaneous projects.

Responsibilities

• Research, design, and test claim billing logic to prevent claim rejections.
• Evaluate insights from clients and data to improve outcomes.
• Manage and execute solutions for billing performance issues.

Skills

Analytical thinking

Problem solving

Communication

Education

Bachelor's degree or 3-5 years of experience in insurance or medical coding field

Certified Professional Coder (CPC) certification

Tools

Microsoft Office applications

Job description

Join to apply for the Business Analysis Associate role at athenahealth

Join to apply for the Business Analysis Associate role at athenahealth

Join us as we work to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all.

Role Summary

The Business Analysis Associate will be responsible for identifying and transforming client and payer requirements into business logic our development team will utilize to create and maintain industry leading billing rules that generate superior results. Requirements may be identified through client requests, internal insights, or data trends.

This individual has a combination of strong solution design skills, technical facility, analytical thinking skills, intense curiosity, and thrives on optimizing product and processes to maximize client value and operational efficiency. This individual should have experience with revenue cycle, claim formatting, and billing requirements. The Associate should demonstrate excellent communication skills, be detail oriented, understand how to manipulate and utilize large data sets, have a keen ability for solving business problems via independent analysis, and enjoy managing simultaneous projects with competing priorities and multiple stakeholders.

Team Summary

The Network Performance Optimization (NPO) team empowers athenahealth to deliver industry-leading clean claim performance by implementing, influencing, and guiding upstream interventions that ensure the submission of clean claims with minimal work.

Essential Responsibilities

• Research, design, and test claim billing logic to prevent claim rejections, denials, and billing work
• Grow and maintain athena’s library of insurance billing rules to minimize disruption to clients and internal teams
• Evaluate, prioritize, and act upon insights from clients, internal teams, and data to improve client and operational outcomes
• Management of and execution against problems of limited to moderate scope to research and improve specific areas of poor billing performance or drive process improvement
• Work effectively with stakeholders within and external to the NPO team to share billing expertise and collaborate on finding solutions to client needs.
• Analyze complex data sets, identifying trends and proactively developing solutions to globally felt customer issues
  
  

Expected Education & Experience

• Bachelor’s degree or 3-5 years of experience in an insurance or medical coding field
• Experience solving complex healthcare billing problems involving revenue cycle, claim formatting, and coding requirements
• Certified Professional Coder (CPC) certification is a plus
• Mastery of Microsoft Office applications, including Outlook, Word, Excel, and PowerPoint
• Familiarity and comfort with web/software applications and a basic understanding of cloud-based SaaS
  
  

Knowledge & Skills

• Ability to assess large amounts of information, identify trends, and break information into key components
• Capable of transforming business requirements into logic statements
• Must be highly motivated and able to work independently as well as part of an extended, cross-functional team
• Understanding of the process of medical billing and medical terminology
• Excellent verbal and written communication skills
• Passion for customer service, problem solving, and solution design
• Ability to prioritize and to multi-task in a fast-paced environment, manage competing priorities and communicate potential conflicts to manager
• Capable of managing simultaneous projects with multiple stakeholders
• Maintain a curiosity on how things work and a willingness to dive deeper
  
  

For Candidates Located In California, Colorado, Hawaii, Jersey City (NJ), New York City, Westchester County (NY), And Washington, Please Visit The Following Link For Pay Range Information

California: https://www.athenahealth.com/salary-range/ca-nontech-associate

Colorado: https://www.athenahealth.com/salary-range/co-nontech-associate

Hawaii: https://www.athenahealth.com/salary-range/hi-nontech-associate

New Jersey: https://www.athenahealth.com/salary-range/nj-nontech-associate

New York: https://www.athenahealth.com/salary-range/ny-nontech-associate

Washington: https://www.athenahealth.com/salary-range/wa-nontech-associate

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 talentedemployees — 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 collaborativeworkspaces — 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, athenahealthenablesemployees 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

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Research, Analyst, and Information Technology

• Industries

  IT Services and IT Consulting

Referrals increase your chances of interviewing at athenahealth by 2x

Get notified about new Business Analyst jobs in Massachusetts, United States.

Sr Business Analyst/SME Investment Management

Wilmington, MA $60,000.00-$65,000.00 1 day ago

Massachusetts, United States $50.00-$55.00 19 hours ago

Business Analyst (Accounting & Treasury)

Business Analyst (Remote - Massachusetts)

Boston, MA $132,288.00-$191,082.67 1 month ago

Worcester, MA $132,288.00-$191,082.67 1 month ago

Boston, MA $70,000.00-$80,000.00 2 days ago

Massachusetts, United States $58.00-$62.00 1 week ago

Worcester, MA $102,890.67-$139,637.34 1 month ago

Boston, MA $102,890.67-$139,637.34 1 month ago

Business Analyst - Artificial Intelligence - Private Equity

We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.