Denials Prevention Analyst, Revenue Cycle Ops

Athenahealth India; Boston (MA); On-site; USD 59,000 - 101,000; Full time

Benefits offered by this job

Commuter assistance

Tuition assistance

Employee resource groups

Collaborative workspaces

Job summary

athenahealth, a leading provider of cloud-based healthcare IT solutions, is seeking a Denials Inflow Prevention Associate to join the Denials Prevention and Inflow Mitigation team within our RCM Admin division.

This role entails analyzing denial causes and leading cross-functional initiatives to implement scalable improvements with automation and stakeholder collaboration, enhancing revenue cycle performance for clients.

Qualifications

• Bachelor's degree preferred.
• 3+ years of professional experience in healthcare operations, revenue cycle management, or a related field.
• Experience analyzing claim denials and revenue cycle processes.
• Demonstrated success leading cross-functional projects and influencing stakeholders to achieve business objectives.
• Experience working with internal/external customers to improve operational outcomes.
• Proficiency in Microsoft Office Suite (Excel, PowerPoint, Word, Outlook, OneNote).
• Experience with Lean Six Sigma, Agile methodologies, and SQL is preferred.

Responsibilities

• Analyze quantitative and qualitative data to identify root causes of claim denials and operational challenges.
• Lead cross-functional initiatives that improve denial prevention, operational efficiency, and client outcomes.
• Design and implement scalable process improvements, emphasizing automation, work prevention, and product enhancements.
• Develop business cases, project plans, success metrics, and executive-ready presentations to drive stakeholder alignment and project execution.
• Partner with internal and external stakeholders to identify customer needs, prioritize improvements, and optimize service delivery.
• Monitor performance trends, communicate actionable insights, and recommend solutions that enhance operational effectiveness.

Skills

Healthcare operations

Revenue cycle management

Data analysis

Cross-functional collaboration

Education

Bachelor's degree preferred

Tools

Excel

PowerPoint

Word

Outlook

OneNote

SQL

Job description

athenahealth, a leading provider of cloud-based healthcare IT solutions, is seeking a Denials Inflow Prevention Associate to join the Denials Prevention and Inflow Mitigation team within our RCM Admin division.

This role entails analyzing denial causes and leading cross-functional initiatives to implement scalable improvements with automation and stakeholder collaboration, enhancing revenue cycle performance for clients.