Description

Working Conditions:

Fixed night shift schedule (start time of 9PM but can change depending on business need).
Report daily to the Pasay office.
Minimum 3 years of working experience in Revenue Management Cycle (RCM) / Patient Financial Service preferably in US healthcare
Working knowledge of front-end RCM processes (insurance verification, eligibility, prior authorization) and back-end operations (AR follow-up, claims management, billing).

The Finance Operations organization works with every part of Amazon to provide operations accounting and operations excellence services with the highest level of controllership at the lowest cost to the company. We provide the backbone systems and operational processes which completely, accurately, and validly pay Amazon's suppliers, invoice our customers and report financial results. Amazon is quickly building the Finance Operations capabilities in the healthcare industry by creating the Healthcare Finance Operations Services.

As part of the Amazon Healthcare Global Finance Operations Services team, you will find yourself working with exceptionally talented and determined people committed to driving financial improvement, scalability, and process excellence. To support the growth of Amazon HealthCare, this candidate must possess a strong passion for accountability, setting high standards, raising the bar, and driving results through constant focus on improving existing and future state operations, systems, and processes in collaboration with Management.

As we continue to grow and scale our ability to provide innovative primary care across the country, the teams that support this critical work are growing as well. Amazon Healthcare is seeking to hire Patient Financial Services Specialists for the Revenue Cycle team. As a member of the Revenue Cycle team, you will be working in the Revenue Cycle Team ensuring that our members get the best billing experience available. Patient Financial Services Analysts help us to attain this goal by assisting administrators with member inquiries and doing pro-active reach outs to members with large balances.

This position is office-based in Pasay City, with the flexibility to work remotely up to two days per week in line with Amazon's current flexible work guidance. Amazon encourages open communication about unique needs for flexible arrangements

Key job responsibilities

Proactively reaching out to patients with open balances and assisting them with payment options
Assisting admins with our member's billing needs via 1Life's tasking system to provide the best customer service
Educating admins and patients to better understand health insurance benefits through open balances
Answering patient inquiries for complex billing cases and questions
Investigating claims through insurance to ensure they were processed according to the patient benefit plan via internal tools
Reaching out to patients when bill payments were unable to be processed (i.e. bounced checks, declined cc's) to offer options for resolution
Supporting One Medical through processes aimed at empowering our patients to resolve any financial responsibilities
Reviewing and reconciling patient and insurance balances for accuracy
Managing the member statement process, by ensuring bills are efficiently and accurately sent
Maintaining service level agreements in response time to admins and patients

Basic Qualifications

Bachelor's degree in a relevant area of expertise such as healthcare, business, or finance.
Prior experience of at least 3 years in Accounts Receivable in RCM or in US healthcare revenue cycle operations.
Experience working in shared services environment with productivity targets.
Experience in the area of customer services (outbound/inbound calls).
Experience in US healthcare and insurance landscape.
Knowledge of reading an Explanation of Benefits (EOB), denial management and denial codes is required.
Understanding of Coordination of Benefits and Eligibility.

Preferred Qualifications

Degree in Finance and Accounting.
Prior experience of at least 2 years in US healthcare self-pay/member services collections.
Understanding of basic accounting principles and receivables management.
Knowledge of Amazon Healthcare One Medical business.
Has led or been part of a team that worked on a Six Sigma belt project / Kaizen / Lean projects.

Our inclusive culture empowers Amazonians to deliver the best results for our customers. If you have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support for the interview or onboarding process, please visit https://amazon.jobs/content/en/how-we-hire/accommodations for more information. If the country/region you're applying in isn't listed, please contact your Recruiting Partner.

Company - AOSP - Manila

Job ID: A10397875

Revenue Cycle Management Specialist - PFS