Sr. Athena Systems Manager

Bachelor’s degree in healthcare administration, business, IT, or a related field (or equivalent experience)
5+ years of experience in provider enrollment, revenue cycle management, or healthcare IT
Strong knowledge of athenahealth system setup, payer enrollment, ERA, and EFT workflows
Knowledge of EDI transactions, HIPAA 835/837 standards, and banking processes related to EFTs
Experience working with Medicare, Medicaid, and commercial payers
Excellent problem-solving, analytical, and communication skills
Proficiency in Microsoft Excel, EHR/PM systems, and enrollment portals
Ability to manage multiple priorities and work collaboratively across departments
Advanced Microsoft Excel skills (ex. pivot tables, VLOOKUP, sort/filtering and formulas)

Configure and maintain payer enrollment tables within the athenahealth system
Act as a liaison between athena, credentialing, enrollment and RCM teams to resolve enrollment-related issues
Ensure proper alignment of payer IDs, provider group enrollments, and claim submission details
Oversee payer ERA and EFT enrollment submissions, ensuring timely processing and resolution of issues
Monitor released claim activity and troubleshoot discrepancies
Work with finance and accounting teams to ensure proper banking setup and reconciliation of EFT transactions
Maintain compliance with HIPAA and payer regulations related to electronic transactions
Monitor payer bulletins and updates to stay ahead of changes impacting electronic transactions
Collaborate with revenue cycle, credentialing and enrollment teams to enhance system functionality and automation
Develop and refine standard operating procedures (SOPs) for enrollment processes related to athena setup and workflows
Generate and analyze athena enrollment reports to track processing times and outstanding tasks
Identify and implement opportunities for automation and workflow enhancements

No preferred qualifications provided.