Operations Analyst



IT, Operations
Chennai, Tamil Nadu, India
Posted on Friday, September 15, 2023

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 Business Operations Analyst to join our Payer EDI team within our Technology Enabled Services division. You will be responsible for supporting workflows and projects aimed at improving the efficiency and growth of athenahealth’s interoperability network or ‘backbone’.But enough about us; let’s talk about you.

You will be responsible for establishing and maintaining electronic connections to insurance carriers, industry clearinghouses and collection agencies in support of Athena’s batch and real time transmission of eligibility check, claim submission, solicited and unsolicited acknowledgment reports, Claims Status Inquiries (CSI), remittance advices and collection files. The team monitors connection errors and uptime as well as alerts from the payers and clearinghouses including claim rejections and initiating projects to improve the transaction rate.

The Team: EDI team is responsible for maintaining, managing, and supporting our national, cloud-based network leveraged by tens of thousands of providers to deliver the right information, at the right time, to the right place in the health care supply chain to coordinate care and improve healthcare. The team provides coordination and technical guidance for all technical Support activities ensuring our client needs are satisfied by constructing strong business relationships between colleagues across athenahealth.

Job Responsibilities

  • Manage the transaction workflows and resolve complex issues related to patient’s eligibility, claim submission, claim status inquiry and remittance processing through direct communication with internal (athenahealth) and external (Insurance companies/Clearinghouses/Collection agencies) stakeholders.
  • Investigating and resolving issues in Payer EDI related work queues, including interfaces connectivity errors, rejected claims in Athena HOLD queues and missing response files.
  • Develop a comprehensive understanding of athenahealth’s back-office operations and how relationships between various teams and their workflows influence in complex problem solving.
  • Managing a high volume of tasks and client support tickets while maintain priorities.
  • Extracting, synthesizing, and analyzing data.
  • Other duties as assigned by the Manager necessary to help optimize and expand EDI operations.

Typical Qualifications

  • Graduate in engineering, science, or commerce stream.
  • 2-3 years of work experience in the US Healthcare industry.
  • Knowledge and experience in medical billing for US healthcare industry
  • US healthcare knowledge, preferred.
  • Analytical skills and good communication skills
  • Ability to clearly articulate actions taken and next steps.
  • MS office skills, required.

About athenahealth

  • Our Vision: To create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all.
  • Our Location: This role will be based in Chennai, India. Our Global Headquarters is located in Watertown, MA, just a few miles from Boston. We have two other India locations in Bengaluru and Pune.
  • Our Culture: At athenahealth, our employees (or “athenistas”) are committed to making healthcare smarter. Our success is dependent on the diversity, collective spirit, and contributions of our people, clients and partners. We value teamwork and believe that the strength of our team comes from supporting each other and leveraging our specialized skills. If you are looking for acompany that will enable you to work outside of your comfort zone to transform the healthcare ecosystem, athenahealth is the place for you.
  • Our Perks: Along with health & financial benefits, our athenistas are offered a variety of perks that promote employee wellbeing such as commuter support, collaborative workspaces and dog-friendly offices - just to name a few.

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.