: Rules Engine Associate
311 Arsenal Street
Watertown, MA 02472

Employee Testimonials

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We are looking for a Rules Engine Associate to join our Rules and Format team within our Core Services division. The Rules Engine Associate serves as an internal resource for investigation, communication, and management of complex payer and industry changes and the impact on the healthcare billing workflow. Part of this will be completed by maintaining and enhancing the "Rules Engine" (a repository of payer, coding and formatting intelligence, and accumulated knowledge) and/or the knowledge needed to keep this engine up to date. As part of the team you will be a guardian of the knowledge put into the Rules Engine, protecting a key product differentiator and one of athenahealths important assets. But enough about us; lets talk about you.

You are an analytical thinker who thrives on solving complex problems. You are someone who demonstrates excellent communication skills and has a keen ability for translating technical requirements to a less technical audience. You are detail-oriented and enjoy managing simultaneous projects with competing priorities and multiple stakeholders. This role is a mix of research, investigation, and operations. This is a great fit for individuals who have experience in or desire to work on the insurance side of healthcare technology!

The Team: Our Rules and Format team eliminates the administrative burden associated with medical billing and ensures our clients cash flow through enabling the creation of accurate insurance claims with minimal client work.

Job Responsibilities

  • Research, develop, and test claim billing logic in order to resolve complex insurance and provider issues

  • Serve as a go-to resource for in-depth understanding of the healthcare claim submission process and payer billing requirements

  • Ensure customer satisfaction on cases from initial request to client-facing resolution

Typical Qualifications

  • College degree or 3-5 years of experience in an insurance or medical coding field

  • Experience with revenue cycle, claim formatting, and coding requirements

  • Ability to solve complex healthcare billing problems; Certified Professional Coder (CPC) certification is a plus

  • Familiarity and comfort with web/software applications and a basic understanding of cloud-based SaaS

About athenahealth

  • Our Mission: To create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all.

  • Our Location: This role is based in Watertown, MA, just a few miles outside of Boston. Watertown is our Global Headquarters and our campus, the Arsenal on the Charles, is home to a number of restaurants, a local gym and large outdoor space. This office also has a cafeteria, coffee caf and food trucks that rotate every day.

  • 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 company 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 (We were named one of the 2018 Best Workplaces for Commuters!), collaborative workspaces and dog-friendly offices - just to name a few.

Full-time

Employee Testimonials

Olivia Adams
Lead Member Of Technical Staff

“I enjoy working at athenahealth because I am making something that matters.  My passion isn’t writing code - it’s what writing code enables me to do, which is make something for other people.  And there’s no nobler cause than healthcare.”

 

Sherry Cheuk
Product Operations Manager

“athenahealth has a mission to transform healthcare, which is something I really admire.  Every company out there is trying to grow, but I think our focus on making an impact and delivering value is really powerful.  Our work is about improving people’s lives.”