Global Billing Rules Architect

athenahealth; Boston (MA); On-site; USD 63,000 - 107,000; Full time

Benefits offered by this job

Commuter support

Employee assistance programs

Tuition assistance

Collaborative workspaces

Flexible work-life balance

Job summary

A healthcare technology company in Boston seeks a Global Rules Associate responsible for transforming client and payer requirements into billing logic. Candidates should possess strong analytical skills, a degree or relevant experience in insurance or medical coding, and exceptional communication skills. The role involves researching billing logic and collaborating with internal teams to optimize performance. Expected annual compensation ranges from $63,000 to $107,000, reflecting experience and skills. This position offers opportunities to improve processes in a dynamic environment.

Qualifications

• Bachelor's degree or relevant experience in an insurance or medical coding field.
• Experience solving complex healthcare billing issues.
• Comfortable with payer calls and direct client engagement.

Responsibilities

• Identify and transform client requirements into billing logic.
• Research and test claim billing logic.
• Collaborate with stakeholders to improve billing outcomes.

Skills

Analytical thinking

Communication skills

Problem solving

Data analysis

Attention to detail

Education

Bachelor’s degree or 3-5 years experience in insurance or medical coding

Tools

Cloud-based SaaS platforms

Job description

A healthcare technology company in Boston seeks a Global Rules Associate responsible for transforming client and payer requirements into billing logic. Candidates should possess strong analytical skills, a degree or relevant experience in insurance or medical coding, and exceptional communication skills. The role involves researching billing logic and collaborating with internal teams to optimize performance. Expected annual compensation ranges from $63,000 to $107,000, reflecting experience and skills. This position offers opportunities to improve processes in a dynamic environment.