Sr. Patient Financial Services RCM , 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 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
Handle tasks via our offline chat using One Medical tools
Oversee comprehensive revenue cycle management operations while ensuring compliance with healthcare billing regulations.
Assisting admins with our members billing needs via 1Lifes tasking system to provide the best customer service
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
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

- Prefer a Bachelors 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

- 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

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