Athena Systems & Enrollment Analyst

About the Role

The analyst will be responsible for managing EFT, ERA, and EDI setups, conducting regular follow-ups with health plans, and addressing provider enrollment issues. This role requires strong problem-solving skills, attention to detail, and the ability to work independently and collaboratively.

What You Will Do

• Analyze revenue cycle management data to identify and resolve revenue leakage
• Complete EFT, ERA, and EDI setups with health plans through claims systems or payor portals
• Conduct regular follow-ups with health plans to obtain statuses of provider submissions
• Address provider enrollment issues and work with other Privia partners to resolve issues
• Ensure accuracy and consistency of provider and practice data across EHR, credentialing, and payer systems
• Maintain and validate enrollment tables, matrices, and system configurations
• Review and optimize EHR rules to prevent credentialing and billing-related claim denials
• Collaborate cross-functionally to resolve data and workflow issues
• Develop reports and dashboards to track KPIs and revenue impact
• Document and share processes, system rules, and best practices

What We Are Looking For

• Bachelor's degree in Healthcare Administration, Finance, Business, or a related field
• At least 3 years of experience in managed care credentialing, billing, and/or Medical Staff service setting
• Knowledge of Athena system, preferably AthenaCollector payer enrollment table
• Advanced Microsoft Excel/Google sheet skills
• Strong problem-solving, analysis, and attention to detail skills
• Ability to function independently and possess demonstrated flexibility in multiple project management
• Compliance with HIPAA rules and regulations

Nice to Have

• Knowledge of EFT, ERA, EDI enrollment and claims systems
• Experience in a similar role with a focus on data analysis and process improvement
• Certification in healthcare administration or a related field

Benefits and Perks

• Competitive base pay
• Annual bonus targeted at 10%
• Comprehensive benefits package, including medical, dental, vision, life, and pet insurance
• 401K and paid time off
• Remote work stipend to offset internet costs
• Opportunity to work with a leading healthcare company and contribute to digital healthcare innovation
• Collaborative and dynamic work environment
• Professional development and growth opportunities

• Tip: Develop a strong understanding of revenue cycle management and provider credentialing and enrollment processes to stand out in this role.
• Tip: Showcase your analytical skills and experience in managed care credentialing and billing by highlighting specific achievements in your resume and cover letter.
• Tip: Be prepared to discuss your knowledge of Athena system and Excel skills during the interview process.
• Tip: Consider obtaining certification in healthcare administration or a related field to demonstrate your expertise and commitment to the field.
• Tip: Research Privia Health's company culture and values to understand their approach to innovation and collaboration in the healthcare industry.
• Tip: Prepare examples of your problem-solving skills and ability to work independently and collaboratively to address complex issues.
• Tip: Be ready to discuss your experience with data analysis and process improvement, and how you can apply these skills to drive results in this role.