Impress employers and recruiters.
Choose from hundreds of resume examples.
Impress employers and recruiters.
Choose from hundreds of resume examples.
Target Resume Now
About the Role
The Revenue Cycle Systems Lead is responsible for the organization’s revenue cycle systems infrastructure, primarily athenahealth and Adonis. This role bridges Revenue Cycle Operations, IT, Finance, and leadership to ensure revenue cycle workflows are configured, operating effectively, and continuously improving. The ideal candidate possesses deep athenaHealth platform expertise, strong revenue cycle knowledge, and the ability to translate business problems into system configuration, reporting, workflow design, and vendor action. This role oversees system integrity, reporting accuracy, work queue logic, and operational workflows, acting as the primary internal partner for optimizing revenue cycle infrastructure.
Responsibilities
- Serve as the primary internal owner of RCM athena configuration, administration, and day-to-day optimization.
- Act as the main operational point of contact for Adonis, partnering on workflow design, issue triage, reporting needs, data validation, and ongoing performance improvement.
- Ensure athenaHealth and Adonis are aligned to current-state operational workflows, escalation paths, work queues, and reporting requirements.
- Partner with operational leaders to identify breakdowns in process, system logic, or data quality and translate them into corrective actions.
- Maintain a strong understanding of where work should occur in athenaHealth versus Adonis and helps the organization use both platforms effectively.
- Manage athenaOne and athenaNet configuration for billing-related settings, and system maintenance.
- Maintain key table structures and configuration elements that support accurate charge capture, claim management, remittance posting, and operational reporting.
- Monitor platform health and proactively identify system, interface, or configuration issues that could affect revenue cycle performance.
- Oversee relationships and case management with athenahealth support and the athena CSM, including escalation tracking, issue documentation, follow-up, and resolution.
- Oversee core revenue cycle workflows supported by the system infrastructure, including claim edits, denials, follow-up work queues, remittance-related issues, and productivity workflows.
- Review and optimize athenaNet rules engine logic and automated billing workflows to reduce preventable rejections and improve staff efficiency.
- Partner with Revenue Cycle leaders to ensure system workflows reflect operational priorities and support accountability across teams.
- Help define, document, and improve standard operating procedures tied to system-supported revenue cycle work.
- Own the integrity and reliability of revenue cycle reporting sourced from athenahealth and supported by Adonis outputs.
- Build, maintain, and distribute recurring reporting packages such as A/R aging, collections, denial trends, productivity, and other operational KPI dashboards.
- Support ad hoc reporting and benchmark analysis for leadership, finance, and operations and RCM teams using athenaHealth reporting tools and other business intelligence tools as needed.
- Validate data consistency across athenahealth, Adonis, and internal reporting to ensure stakeholders are working from trusted information.
- Identify reporting gaps and partner with Adonis and internal stakeholders to improve visibility into operational and financial performance.
- Serve as a day-to-day partner to Adonis on configuration questions, workflow tuning, implementation of enhancements, issue resolution, and value realization.
- Support testing, user acceptance, rollout readiness, and change management for new workflows or reporting enhancements.
- Track recurring issues, root causes, and improvement opportunities across athenahealth and Adonis and drive them to closure.
- Help leadership assess whether current system usage, workflows, and vendor capabilities are supporting target revenue cycle outcomes.
- Presents a professional image and customer-focused approach.
- Practices teamwork by helping others willingly and communicating in a professional manner.
- Updates job knowledge by participating in educational opportunities, reviewing payer updates, and staying current on revenue cycle technology trends.
- Serves and protects the practice by adhering to professional standards, policies and procedures, and federal, state, and local requirements.
- Enhances practice reputation by accepting ownership for accomplishing new and different requests and identifying opportunities to add value to job performance.
- Operates standard office equipment, including computer, copier, scanner, telephone, and related office technology.
Requirements
- Minimum 4 years of experience in athenahealth administration, healthcare IT, revenue cycle systems, revenue cycle operations, or a closely related role.
- Hands-on experience configuring and maintaining athenaOne, athenaNet, athenahealth reporting tools, and Custom Report Builder is strongly preferred.
- Must be able to work as scheduled, typically during standard business hours.
- Must be able to sit and/or stand for prolonged periods of time; bend, stoop, and stretch as needed; lift and move items weighing up to 30 pounds; and use eye-hand coordination and manual dexterity sufficient to operate office equipment.
- Protects patient information and maintains confidentiality.
Skills
- athenaHealth platform expertise
- Revenue cycle knowledge
- System configuration
- Reporting
- Workflow design
- Vendor action
- athenaOne
- athenaNet
- athenahealth reporting tools
- Custom Report Builder
- athenahealth administration
- healthcare IT
- revenue cycle systems
- revenue cycle operations
- athenaNet rules engine logic
- work queues
- system administration
- Clear and precise communication
- Strong working knowledge of revenue cycle operations
- claims
- denials
- remittance
- reimbursement workflows
- A/R management
- operational KPI reporting
- Ability to validate data consistency
- Strong analytical skills
- Proficiency in Excel
- SQL
- Power BI
- EDI transactions
- clearinghouse processes
- healthcare data interfaces such as HL7
- CPT
- ICD-10
- payer workflows
- common denial or adjustment patterns
- Ability to manage priorities
- organize work effectively
- identify process gaps
- drive issues to resolution with clear ownership
Location
- Medical office and administrative office environment
Work Type
- Full-time
Experience Level
- Minimum 4 years of experience
Education Level
- High school diploma or GED required
- Bachelor’s degree in healthcare administration, health information management, information systems, business, finance, or a related field is preferred
About the Company
- Advanced Pain Care