Senior Associate, Revenue Cycle Case & Escalation Management, Claim Resolution

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

We are looking for a Senior Associate Revenue Cycle Case & Escalation Management to join our Escalations Team. You will be responsible to be focused on meeting or exceeding expected TAT and quality through close collaboration with client-facing and operational teams. Once clear drivers of client issues have been identified, You will facilitate outreach to appropriate operational teams to improve client outcomes. Upon completion of specific issue resolution. You will ensure root cause, remediation actions, and results are communicated to clients as needed.

The Team:

Revenue Cycle Case and Escalation Management (RCCEM) is the end of the line escalation team researching and resolving our most complex and sensitive client issues

Job Responsibilities

• Partner directly with internal and external stakeholders to provide support and drive improvements in client issue management using our single point of entry issue management system within Salesforce.
• A Senior Associate will be focused on meeting or exceeding expected TAT and quality through close collaboration with client-facing and operational teams.
• Support our internal operational teams by adhering to the standardized issue reporting process governed by athenaNation's single source of truth.
• Ensure the right types of information are being used to enable analysis of issues so actionable insights can be gleaned.
• Work with peers and partner teams to influence the service roadmap by providing comprehensive business cases
• Flexible to work in US shift hours

Education & Experience Required:

• An ideal candidate will have medical billing/US healthcare experience or have demonstrated the ability to rapidly learn the foundational concepts of US healthcare and medical billing
• As such, qualified candidates must possess strong analytical, communication, and organizational skills, and be very detail oriented to provide on-going support of client performance
• Bachelor's degree or equivalent experience

Knowledge & Skills:

• Comfortable with Excel and/or other business tools (Smartsheets, Google tools, Sharepoint, etc.)
• Proven ability in manipulation of large data sets to understand root causes and trends and proven ability in project management and/or cross-team partnerships
• Proven and effective verbal and written communication skills,Research skills via phone, websites, payer manuals, etc.
• Ability to identify issues and recommend process improvements. Ability to work as part of a team and also independently strong awareness when to loop in others to problem-solve