Full-Time Sr. Athena Systems Manager

Sr. Enrollment Systems Manager is responsible for the setup, maintenance, and optimization of enrollment tables within the athenahealth system, ensuring seamless electronic transactions for ERA and EFT enrollments. This role closely collaborates with internal credentialing, enrollment, and revenue cycle teams to ensure accuracy, compliance, and efficiency in enrollment tasks and workflows within athena.

Primary Job Duties

• 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.

Qualifications

• 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 (e.g., pivot tables, VLOOKUP, sort/filtering, and formulas).

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