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Senior Payer Relations Associate
Athenahealth
Multiple locations
Posted on Jan 10, 2025
Join us as we work to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all.
Senior Payer Relations Associate
We are looking for a Senior Payer Relations Associate to join the EDI team within our Technology Enables Services department. athenaEDI is a certified EDI Clearinghouse supporting healthcare providers using the athena revenue cycle management systems with processing and integration of Electronic Data Interchange (EDI) transactions. In this role, the Senior Payer Relations Associate will be responsible for educating and supporting customers through the enrollment process, ensuring a smooth and efficient experience for timely processing of transactions. This individual will work to manage payer relationships, execute on mandates, provide training on payer/provider enrollment tools, and collaborate with various departments to optimize enrollment and payer support processes and enhance customer satisfaction.
Job Responsibilities
Providing comprehensive training to customers on the effective use of enrollment tools and resources.
Overseeing and managing payer mandates that may impact the revenue cycle, ensuring compliance and timely updates
Assisting customers with the enrollment process, addressing inquiries and resolving issues as they arise
Preparing and submitting applications to configure Electronic Data Interchange (EDI) claims and Electronic Remittance Advice (ERA) through clearinghouse and other payer portals
Reviewing correspondence received from payers and creating action plans for resolution
Initiating investigation with payers regarding provider enrollment denials and errors
Working closely with internal teams to implement payer mandated changes, support projects impacting multiple high volume strategic customers, streamline processes and improve overall efficiency
Resolving customer support cases, including setting expectations with the customer, providing timely progress updates, setting and meeting expectations for timelines and outcomes
Developing and maintaining professional relationships with service teams at payer intermediaries, government agencies and insurance payers
Performing in a customer support team environment
Effectively manage a queue of multiple customer issues
Staying updated on industry trends and best practices to enhance tools, processes and customer experience
Typical Qualifications
Bachelor’s degree in a related field or equivalent experience
Experience in healthcare, enrollment, customer service, or a related field
Analytical thinking and systematic approach to issue troubleshooting
Demonstrated ability to work independently and collaboratively with assigned teams
Experience working directly with customers
Ability to multi-task and balance competing priorities
A strong desire to learn new skills and be flexible with job duties including being cross trained on various applications and duties.
Strong verbal and written communication skills
Highly detail-oriented and a strong work ethic
For candidates located in California, Colorado, Hawaii, Jersey City (NJ), New York City, Westchester County (NY), and Washington, please visit the following link for pay range information:
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.