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Junior Operations Associate

3 months ago

Lehi, Utah, United States Athelas Full time

Every day, it feels like healthcare becomes less about the practice of medicine. Hospitals and private practices operate on razor-thin margins, caught between the bureaucracy of insurance companies and ballooning administrative costs. And technological advancements - from electronic health record systems to dictation software - have failed to live up to their promise of making the lives of all healthcare staff easier.

Athelas' mission is to once again make health the focus of healthcare by using AI and automation to eliminate distractions and keep providers connected to their patients throughout the care journey.

The Athelas suite of automated and AI-enabled hardware, software, and services results in happier and healthier patients, less time wasted on administrative tasks, safer staff, and more reliable insurance reimbursements. Since merging with Commure, our growing suite of solutions now includes:

  • Patient Engagement - Commure Engage empowers providers to connect with their patients throughout the care journey, reducing no-shows and improving health outcomes
  • Workflow Automation - PatientKeeper and other workflow tools automate repetitive tasks, allowing healthcare workers to spend more time with patients
  • Staff Safety - Commure Stronglineprotects staff from workplace violence by empowering them to call for help to de-escalate potentially violent situations
  • At-Home Monitoring - Athelas Care Management offers a suite of remote sensors that allow doctors to bring healthcare into the home, saving lives through early intervention
  • Billing Solutions - Athelas RCM offers AI-driven, full-cycle revenue cycle management solutions that optimize claims submission, ensuring insurers pay every dollar they owe for work performed by healthcare providers
  • Automated Dictation - Athelas Scribeutilizes the power of LLMs to record and automatically summarize appointments, saving doctors countless hours every day

Athelas takes a provider-focused approach to healthcare and the healthcare industry has noticed. We've grown more than 500% year over year for three consecutive years. We support more than 250,000 clinicians and staff and hundreds of thousands of patients across hundreds of care sites. And we're just getting started. Backed by General Catalyst, Sequoia, and many other leading investors, Athelas & Commure is positioned to be the defining healthcare tech company of the next 15 years.

If you're eager to advance our mission to make health the focus of healthcare, come join us

Responsibilities:

As a Denials Operations Associate at Athelas, you will play a pivotal role in ensuring that we are improving cash flow for our healthcare clients by researching and understanding the root causes of healthcare claim denials and rejections. Your work will directly contribute to our mission by identifying ways technology can be implemented to efficiently combat denials and reduce rejections.

What You'll Do:

  • Manage Claims Lifecycle: You'll oversee the claims management process from post-submission through to resolution. This includes proactively calling payers to gather information, verify claim status, and promptly address rejections and denials using software tools.
  • Perform Root Cause Analysis: When discrepancies arise, you'll dig deep to find the root cause and implement preventative measures to improve processes and reduce future issues.
  • Own Metrics Management: You will take charge of performance metrics for a designated subset of accounts. You'll conduct regular analysis, identify trends, and implement improvement strategies to boost overall operational efficiency.
  • Team Collaboration: You will actively participate in team meetings, share insights and contribute to a positive and collaborative team culture. You'll also assist team members as needed, fostering a supportive and cohesive working environment.
  • Foster Cross-Functional Collaboration: You will collaborate closely with product teams and account managers to deepen your understanding of system functionalities and contribute to the development of tools that enhance operational workflows. You'll also have periodic client-facing opportunities.
  • Develop Expertise in Medicare and Managed Care Billing: You will cultivate proficiency in Medicare and Managed Care billing, coding, and reimbursement policies to ensure compliance and accuracy.

What you Have:

  • Analytical Skills: Your exceptional analytical and problem-solving skills enable you to tackle complex issues. You have a keen attention to detail and a methodical approach to your work.
  • Collaboration: You are a team player with excellent communication skills. Your ability to work effectively in a team environment and collaborate across departments sets you apart.
  • Communication: You can distill complex issues into actionable next steps for internal and external partners. You have a professional demeanor and ability to represent Athelas and its clients with integrity.
  • Education/Experience: Bachelor's degree in a STEM field OR HS diploma with 2+ years of experience in hospital billing, revenue cycle management, or related healthcare data analytics (e.g., medical assistant, billing and coding, healthcare technician, biology/health science major).
  • Technical Skills: Proficient in data analysis tools, including Excel. Experience with SQL is a plus, but not required.

Why You'll Like Working with Athelas

  • Execution focused, driven team: Join a team with an incredible record - we are the smallest, fastest company in history to receive FDA hematology clearance. We are also the largest Remote Patient Monitoring company in the US, with a fast-growing SaaS Revenue Cycle Management business as well
  • Technology Focus: Revolutionizing how technology can be used in the healthcare industry
  • Strong Backing: $132M Series B raised from the likes of Sequoia, General Catalyst, Tribe, Y Combinator
  • Mission Driven: We are changing the way healthcare is provided, bringing it directly to the people who need it with technology-enabled solutions
  • Incredible Growth: Revenue growth of 5x over the past 6 months and we're just getting started
  • Competitive Benefits: Unlimited PTO, medical, dental, vision, excellent maternity and paternity paid time off.

Athelas is committed to creating and fostering a diverse team. We are open to all backgrounds and levels of experience, and believe that great people can always find a place. We are committed to providing reasonable accommodations to all applicants throughout the application process.

Employees will act in accordance with the organization's information security policies, to include but not limited to protecting assets from unauthorized access, disclosure, modification, destruction or interference nor execute particular security processes or activities. Employees will report to the information security office any confirmed or potential events or other risks to the organization.

Employees will be required to attest to these requirements upon hire and on an annual basis.