Revenue Cycle Operations Specialist

4 days ago


Manila, National Capital Region, Philippines ENGINEERINGUK Full time

The Healthcare Finance Operations Services team at Amazon is seeking a highly skilled Revenue Cycle Operations Specialist to join their dynamic team. As a key member of this team, you will play a crucial role in ensuring the seamless execution of revenue cycle management operations across various healthcare billing regulations.

As a specialist, you will be responsible for overseeing comprehensive revenue cycle management operations while maintaining compliance with relevant healthcare billing regulations. This involves handling tasks via our offline chat using One Medical tools, assisting admins with member inquiries, and conducting proactive reach-outs to members with large balances.

Key responsibilities include reviewing and reconciling patient and insurance balances for accuracy, managing the member statement process, and maintaining service level agreements in response time to admins and patients. The ideal candidate will 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.

To succeed in this role, you will need to have prior experience of at least 1 year in Accounts Receivable in RCM or in US healthcare revenue cycle operations. Knowledge of denial management and denial codes, familiarity with Medicare and Medicare Advantage programs, and understanding of Coordination of Benefits and Eligibility are essential skills for this position. Additionally, customer service exposure to anything related to revenue cycle-billing insurance and experience working in shared services environment with productivity targets are highly desirable.



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