Patient AR Collections , Healthcare Finance

Working Conditions:
•Fixed night shift schedule (start time of 9PM but can change depending on business need).
•Report daily to the Pasay office.
•Minimum 1 year of working experience in Revenue Management Cycle (RCM) / Patient AR/ PFS role preferably in US healthcare
•Knowledge of front-end (insurance verification, eligibility, prior authorization) and back-end operations (AR follow-up, claims management, billing).

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 professionals (RCM) 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. You will help us to attain this goal by assisting administrators with member inquiries and doing pro-active reach outs to members with large balances.

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

- Completed Bachelor’s degree in any field
- At least 1 year in Accounts Receivable/Patient Financial Service in RCM operations.
- Experience working in shared services environment with productivity targets preferably in US healthcare and insurance landscape
- Understanding of Coordination of Benefits and Eligibility Customer service exposure to anything related to revenue cycle-billing insurance
- 2+ years of experience in communication programming and projects
- Excellent written and verbal communication skills

Preferred Qualifications

- Subject matter expertise in Finance and Accounting processes
- Excellent root cause analysis skills
- Experience with financial systems (Oracle Financials, SAP, or other ERP
- tools)
- Experience working with multi-cultural, multi-national teams
- Excellent organizational and time-management skills
- Experience in AI products and solutions
- Exposure to AI-assisted quality or language analysis tools is a plus
- Flexible in schedule and work load

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