athenahealth

Escalation Manager, Claim Resolution

athenahealth

full-time

Posted on:

Location Type: Remote

Location: Remote • Massachusetts • 🇺🇸 United States

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Job Level

Mid-LevelSenior

About the role

  • Model the team’s expectations and methodology while supporting and leading sensitive engagements
  • Maintain professional and productive ongoing client relationships regarding service-related issues
  • Meet with clients and stakeholders regularly to provide senior-level escalation engagement updates
  • Advocate for changes to service delivery and service offerings
  • Balance managing an individual book of business and supporting others (50/50)
  • Develop a comprehensive business case to tell the impact story
  • Lead team initiatives to improve department processes and tools
  • Drive workflow and quality improvements to reduce case inflow and improve client sentiment
  • Apply comprehensive project management skills to manage project life cycle
  • Ensure critical resources are aligned and coordinated across different teams
  • Manage the queue by assigning cases according to skill level, account ownership, and ensuring workload balance
  • Provide leadership in escalation and project management
  • Enhance team skills in content knowledge, de-escalation strategies, and actionable insights
  • Collaborate with the Senior Manager on team performance and development opportunities

Requirements

  • Medical billing/US healthcare experience or the ability to rapidly learn foundational concepts of US healthcare and medical billing
  • Bachelor's degree or equivalent experience
  • Customer-centric mindset characterized by empathy, collaboration, and advocacy
  • Strong written and verbal communication skills
  • Expertise in problem-solving and analyzing large data sets
  • Proven capability to analyze data and provide actionable recommendations
  • Ability to work independently and as part of a team
  • Strong project management skills, including planning and aligning tasks, resources, and timelines
  • Proficient in Excel and other business tools (Smartsheets, Google tools, SharePoint, etc.)
  • Experience with athenahealth products and services is a plus
Benefits
  • Health and financial benefits
  • Commuter support
  • Employee assistance programs
  • Tuition assistance
  • Employee resource groups
  • Collaborative workspaces
  • Flexibility for a better work-life balance
  • Company events such as book clubs, external speakers, and hackathons

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard skills
project managementdata analysismedical billingUS healthcareproblem-solvingworkflow improvementcase managementbusiness case developmentprocess improvementcontent knowledge
Soft skills
customer-centric mindsetempathycollaborationadvocacystrong communication skillsleadershipteamworkindependencede-escalation strategiesactionable insights
Certifications
Bachelor's degree
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