Join us as we work to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all. Position Summary: The Billing Rules Client Solutions Associate is responsible for resolving client cases by understanding client and industry requirements for billing rules, claim formatting, and defining additions or updates to athena’s billing rules engine. The Associate will become an expert in healthcare insurance claim formatting and in athena’s billing rules engines. The position requires analytical thinking, superior attention to detail, effective communication skills, and ability to balance multiple issues at once. Essential Functions (Duties and Responsibilities): Manage client cases (20%) Communicate clearly through written and verbal updates with clients and internal stakeholders Communicate complex issues or scenarios in a clear and concise manner Complete required steps to document case details for reporting purposes Manage/monitor about 25 cases at a time, each in a different stage Prioritize own work across several task management systems daily Provide timely updates and resolutions Define Business Requirements and Technical Solutions (60%) Become a subject matter expert in one or more types of healthcare claim submission and billing logic Use your knowledge of healthcare billing, athenaNet, and billing rules to troubleshoot client issues and determine root cause of the problem Understand the context and business reason behind client requirements Validate payer requirements using payer documentation and phone calls to payers Use team guidelines and best practices, compliance requirements, and own judgement to determine whether client requests should be implemented in the billing rules engine Collaborate with colleagues, including developers, to create high-quality billing rule engine updates that meet client needs and payer guidelines Design quality solutions by synthesizing large amounts of complex information into clear logic statements Define and execute test plans to validate that technical solutions meet client needs Be an active participant in athena’s teaching and learning culture (20%) Seek out opportunities to grow your knowledge in assigned areas Identify opportunities for process improvement. Provide feedback to management Participate in case retrospective reviews to learn from experiences Support teammates by sharing your process and subject matter expertise Participate in team-wide efforts to improve knowledge management and training Education & Experience Required: College Degree or 3-5 years of relevant experience Experience working in a corporate setting populated by diverse backgrounds Familiarity and comfort around web/software applications and a basic understanding of cloud-based SaaS Interest in solving complex Healthcare billing problems Certified Professional Coder certification is a plus Knowledge & Skills: Demonstrates analytical thinking: systematic, logical approach to managing complex, high volumes and/or contradictory information Excellent organizational skills and strong attention to detail Manage multiple projects with competing priorities Clearly frame a problem statement, research and troubleshoot Clearly communicate complex industry requirements to clients Anticipate and balance the needs of multiple stakeholders Comfortable learning new programs/tools/applications Ability to instruct others, especially peers and clients to explain process workflow concepts Proven ability to work both independently on projects and as part of a larger team Flexibility to take on new tasks and challenges About athenahealth Here’s our vision: To create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all. What’s unique about our locations? From an historic, 19th century arsenal to a converted, landmark power plant, all of athenahealth’s offices were carefully chosen to represent our innovative spirit and promote the most positive and productive work environment for our teams. Our 10 offices across the United States and India — plus numerous remote employees — all work to modernize the healthcare experience, together. Our company culture might be our best feature. We don't take ourselves too seriously. But our work? That’s another story. athenahealth develops and implements products and services that support US healthcare: It’s our chance to create healthier futures for ourselves, for our family and friends, for everyone. Our vibrant and talented employees — or athenistas, as we call ourselves — spark the innovation and passion needed to accomplish our goal. We continue to expand our workforce with amazing people who bring diverse backgrounds, experiences, and perspectives at every level, and foster an environment where every athenista feels comfortable bringing their best selves to work. Our size makes a difference, too: We are small enough that your individual contributions will stand out — but large enough to grow your career with our resources and established business stability. Giving back is integral to our culture. Our athenaGives platform strives to support food security, expand access to high-quality healthcare for all, and support STEM education to develop providers and technologists who will provide access to high-quality healthcare for all in the future. As part of the evolution of athenahealth’s Corporate Social Responsibility (CSR) program, we’ve selected nonprofit partners that align with our purpose and let us foster long-term partnerships for charitable giving, employee volunteerism, insight sharing, collaboration, and cross-team engagement. What can we 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 collaborative workspaces — some offices even welcome dogs. In addition to our traditional benefits and perks, we sponsor events throughout the year, including book clubs, external speakers, and hackathons. And 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. 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, athenahealth enables employees to find a balance that feels fulfilling and productive for each individual situation. athenahealth is committed to a policy of equal employment opportunity—that’s why we recruit and hire applicants without regard to race, color, religion, sex (including pregnancy), national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. We’re happy to provide a reasonable accommodation, for those with a disability, to complete any part of the application process. If you are unable to access or use this online application process and need an alternative method for applying, please contact us at taoperations@athenahealth.com for assistance. https://www.athenahealth.com/careers/equal-opportunity United by our mission and driven by our entrepreneurial spirit, our work at athenahealth is collaborative, transformative, and above all, it’s meaningful. Our employees take pride in using technology and data-driven insights to inspire changes that will make the U.S. healthcare system better for everyone, including your friends, family and maybe even you. Notice to Job Seekers/Job Candidates: Recruitment Fraud Alert Please be aware of questionable job offers that are not affiliated with athenahealth. athenahealth has been made aware of unauthorized career opportunities offered by individuals posing as representatives of larger U.S. companies, including athenahealth. The fictitious jobs are advertised on employment-search websites, such as Indeed.com and Craigslist.com, and prospective employees are required to share their personal and financial information (e.g. credit card, bank information), provide copies of their government-issued identification, and/or send money for application fees, processing charges or work permits. The victims who are told they are "hired" are often instructed to deposit a check (which is later returned as fraudulent) into their own account and to forward overpayment to individuals - usually via wire transfer. Important information for job seekers: athenahealth has a formal application process and we do not request you to interview on a Google Hangout or via text messaging. athenahealth will never request money for the opportunity to apply or work for athenahealth. athenathealth does not require completion of tax forms, bank account or credit card information as part of the recruiting process. If you feel that you have been a victim of such a scam, please send an email to: askhr@athenahealth.com