Sr. Patient Financial Services - Revenue Cycle Management, 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) or in PFS role preferably in US healthcare.

As part of the Amazon Healthcare Global Finance Operations Services team, you will work 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.

Key Job Responsibilities

• Handle tasks via our offline chat using One Medical tools.
• Oversee comprehensive revenue cycle management operations while ensuring compliance with healthcare billing regulations.
• Assist admins with our member’s billing needs via 1Life’s tasking system to provide the best customer service.
• Answer patient inquiries for complex billing cases and questions.
• Investigate claims through insurance to ensure they were processed according to the patient benefit plan via internal tools.
• Support One Medical through processes aimed at empowering our patients to resolve any financial responsibilities.
• Review and reconcile patient and insurance balances for accuracy.
• Manage the member statement process, ensuring bills are efficiently and accurately sent.
• Maintain service level agreements in response time to admins and patients.

Basic Qualifications

• Prefer a Bachelor’s degree in any field.
• Prior experience of at least 1 year in Accounts Receivable in RCM or in US healthcare revenue cycle operations.
• Knowledge of reading an Explanation of Benefits (EOB), denial management and denial codes is required.
• Familiarity with Medicare and Medicare Advantage programs.
• Understanding of Coordination of Benefits and Eligibility.
• Customer service exposure to anything related to revenue cycle-billing insurance.
• Experience working in shared services environment with productivity targets.
• Experience in US healthcare and insurance landscape.
• Understanding of basic accounting principles and receivables management.
• Proven ability to adhere to policies and procedures, as defined by leadership.

Preferred Qualifications

• Prior AR Collections or back office experience.
• CRCR certification preferred.
• Has led or been part of a team that worked on a Six Sigma belt project / Kaizen / Lean projects.

Amazon is an equal opportunity employer and does not discriminate on the basis of protected veteran status, disability or other legally protected status.