Network Control Analyst

Job Responsibilities 

• Manage the transaction workflows and resolve complex issues related to patient's eligibility, claim submission, claim status inquiry and remittance processing through direct communication with internal (athenahealth) and external (Insurance companies/Clearinghouses/Collection agencies) stakeholders. 
• Investigating and resolving issues in Payer EDI related work queues, including interfaces connectivity errors, rejected claims in Athena HOLD queues and missing response files. 
• Develop a comprehensive understanding of athenahealth's back-office operations and how relationships between various teams and their workflows influence in complex problem solving.  
• Other duties as assigned by the EDI Product Support Manager necessary to help optimize and expand EDI operations. 

Typical Qualifications 

• 1-3 years' work experience within US health care framework  
• Graduate in engineering, science, or commerce stream. 
• Fluency in both spoken and written English  
• Willingness and ability to work flexible hours to ensure substantial overlap with US-based teams (Morning/Afternoon/Evening/Night) shift timings