Denials Process Automation Associate
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What you'll do
- Analyze denial performance data, including payer-specific trends, to identify issues and drivers of denials
- Investigate root causes and support opportunities to improve payer outcomes and reduce rework
- Assist in developing and executing targeted interventions and workflow improvements
- Support payer-focused analyses and research to identify alternative approaches to resolving denial challenges
- Partner with cross-functional teams to support workflow updates and process improvements
- Communicate findings through clear summaries and reporting
What they're looking for
- 1+ years in denial management, revenue cycle, or similar role
- Experience analyzing data and supporting process improvements
- Strong communication and collaboration skills
- Exposure to payer workflows or denial categories
- Familiarity with AI and data tools
Summarised by NextRaise from the employer’s description, which follows in full below.
Full description from employer
Join us as we work to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all.
Denials Optimization Senior Analyst
We are looking for a Denials Optimization Senior Analyst to join the Denials Optimization & Process Efficiencies team. In this role, the Denials Optimization Senior Analyst will support revenue cycle performance improvement by analyzing denial trends, identifying root causes, and contributing to process improvements that reduce manual effort and improve key operational KPIs. This individual will focus on supporting researching payer-specific issues and identifying opportunities to improve outcomes.
The Team: The Denials Optimization & Process Efficiencies team is responsible for reducing operational friction, lowering cost per claim, and improving denial outcomes across the revenue cycle. The team partners closely with Operations, Business Intelligence, Training, Quality, and Technology teams to identify automation opportunities and standardize best‑in‑class workflows. Using data-driven insights and pilot-led experimentation, the team delivers scalable solutions that reduce manual workload and improve efficiency across payer and client programs.
Job Responsibilities
Analyze denial performance data, including payer-specific trends, to identify issues and drivers of denials
Investigate root causes and support opportunities to improve payer outcomes and reduce rework
Assist in developing and executing targeted interventions and workflow improvements
Support payer-focused analyses and research to identify alternative approaches to resolving denial challenges
Partner with cross-functional teams to support workflow updates and process improvements
Communicate findings through clear summaries and reporting
Typical Qualifications
1+ years in denial management, revenue cycle, or similar role
Experience analyzing data and supporting process improvements
Strong communication and collaboration skills
Exposure to payer workflows or denial categories
Familiarity with AI and data tools
Expected Compensation
$50,000 - $86,000The base salary range shown reflects the full range for this role from minimum to maximum. At athenahealth, base pay depends on multiple factors, including job-related experience, relevant knowledge and skills, how your qualifications compare to others in similar roles, and geographical market rates. Base pay is only one part of our competitive Total Rewards package - depending on role eligibility, we offer both short and long-term incentives by way of an annual discretionary bonus plan, variable compensation plan, and equity plans.
About athenahealth
Our vision: In an industry that becomes more complex by the day, we stand for simplicity. We offer IT solutions and expert services that eliminate the daily hurdles preventing healthcare providers from focusing entirely on their patients — powered by our vision to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all.
Our company culture: Our talented employees — or athenistas, as we call ourselves — spark the innovation and passion needed to accomplish our vision. We are a diverse group of dreamers and do-ers with unique knowledge, expertise, backgrounds, and perspectives. We unite as mission-driven problem-solvers with a deep desire to achieve our vision and make our time here count. Our award-winning culture is built around shared values of inclusiveness, accountability, and support.
Our DEI commitment: Our vision of accessible, high-quality, and sustainable healthcare for all requires addressing the inequities that stand in the way. That's one reason we prioritize diversity, equity, and inclusion in every aspect of our business, from attracting and sustaining a diverse workforce to maintaining an inclusive environment for athenistas, our partners, customers and the communities where we work and serve.
What we can 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.
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.
In addition to our traditional benefits and perks, we sponsor events throughout the year, including book clubs, external speakers, and hackathons. 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.
Learn more about our culture and benefits here: athenahealth.com/careers
Company
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