Patient Financial Service/Billing

Description
Working Conditions:

• Fixed night shift schedule (start time of 9PM but can change depending on business need).
• Report daily to the Pasay office.
• Knowledge of reading an Explanation of Benefits (EOB), denial management and denial codes is required
• Minimum 1 year of working experience in Revenue Management Cycle (RCM) preferably in US healthcare

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

• 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 patient

Basic Qualifications

• Bachelor's degree in any field
• Prior at least 1 year experience in Accounts Receivable (AR) in Revenue Cycle Management or in US healthcare revenue cycle operations.
• Knowledge of denial management and denial codes
• Customer service, exposure to anything related to revenue cycle-billing insurance
• Understanding of Coordination of Benefits and Eligibility
• Experience working in shared services environment with productivity targets

Preferred Qualifications

• 2+ yrs experience with US healthcare and health insurance industry
• Prior AR Collections or back office experience
• CRCR cert preferred
• 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 for more information. If the country/region you're applying in isn't listed, please contact your Recruiting Partner.

Company
- AOSP - Manila

Job ID: A3160018