Healthcare Operations Associate

6 days ago

Manila, National Capital Region, Philippines Amazon Full time

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) preferably in US healthcare.

• Knowledge of denial management and denial codes.

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 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
  1. Handle tasks via our offline chat using One Medical tools.
  2. Oversee comprehensive revenue cycle management operations while ensuring compliance with healthcare billing regulations.
  3. Assisting admins with our member's billing needs via 1Life's tasking system to provide the best customer service.
  4. Answering patient inquiries for complex billing cases and questions.
  5. Investigating claims through insurance to ensure they were processed according to the patient benefit plan via internal tools.
  6. Supporting One Medical through processes aimed at empowering our patients to resolve any financial responsibilities.
  7. Reviewing and reconciling patient and insurance balances for accuracy.
  8. Managing the member statement process, by ensuring bills are efficiently and accurately sent.
  9. Maintaining service level agreements in response time to admins and patients.
BASIC QUALIFICATIONS
  1. Minimum a Bachelor's degree in any field.
  2. Prior experience of at least 1 year in Accounts Receivable in RCM or in US healthcare revenue cycle operations.
  3. Knowledge of denial management and denial codes.
  4. Familiarity with Medicare and Medicare Advantage programs.
  5. Understanding of Coordination of Benefits and Eligibility.
  6. Customer service exposure to anything related to revenue cycle-billing insurance.
  7. Experience working in shared services environment with productivity targets.
  8. Experience in US healthcare and insurance landscape.
  9. Understanding of basic accounting principles and receivables management.
  10. Proven ability to adhere to policies and procedures, as defined by leadership.
PREFERRED QUALIFICATIONS
  1. 2+ yrs experience with US healthcare and health insurance industry.
  2. Prior AR Collections or back office experience.
  3. CRCR cert preferred.
  4. 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 this link for more information.

Amazon is committed to a diverse and inclusive workplace. Amazon is an equal opportunity employer and does not discriminate on the basis of race, national origin, gender, gender identity, sexual orientation, protected veteran status, disability, age, or other legally protected status.

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