Accounts Receivable Representative, Amazon Health Revenue Cycle

Amazon • Full-time • Remote (United States) • $31.20k - $62.60k / year • 9h ago

DESCRIPTION

As a member of the Amazon One Medical Revenue Cycle team, the Revenue Cycle Analyst I will be responsible for supporting Amazon One Medical Revenue Cycle teams in providing transparent, educational and ethical healthcare Revenue Cycle practices along with easy to understand payment solutions, ensuring that our patients receive the best experience available. This role reports into the Manager I, Revenue Cycle.

As part of Amazon Health Services, 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 One Medical, 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

Reviewing and investigating claims processing, verifying the proper payment of claims, and bringing insurance claims to full resolution through a combination of external third-party relationships and cross-functional communication and collaboration.

Maintaining service level agreements regarding assigned accounts receivable tasks while ensuring timely resolution of all claims while prioritizing responsibilities, problem solving, and thinking critically as you perform your regular duties and accommodate other time sensitive tasks as they arise.

Conducts regular review and follow up of accounts receivables, ensuring the timely resolution and payment of accounts. Utilizing multiple reports and worklists, ensuring that all claims are adjudicated correctly per the member's benefits, investigating claims that do not process as expected or for which we do not receive a determination, all while adhering to all applicable guidelines.

Design, develop, and implement process improvements to prevent denials and reduce internal processing errors.

Develop resource material that is accessible and shared by the team and assist in the development of training materials for denial management. Assist in the training of new hires in AR.

Finding and resolving market trends with specific payors, escalating where appropriate while utilizing root cause analysis to develop appropriate action plans.

Omission of specific duties does not exclude them from this position if the work is similar, related or a logical assignment for this position

BASIC QUALIFICATIONS

● 2+ years of employment in a primary healthcare or outpatient care setting required.

● Minimum 2+ years experience in insurance accounts receivables required

● Experience with Medicare/Medicare Advantage required.

● Maintaining service level agreements relating to response time to patients and internal tasks, while prioritizing responsibilities, problem solving, and thinking critically as you perform your regular duties and accommodate other time sensitive tasks as they arise.

PREFERRED QUALIFICATIONS

● Strong attention to detail.

● Exceptional communication and interpersonal skills.

● A proven track record of seeing projects through to completion and thorough follow through and an ability to work independently with a strong attention to detail.

● Proven ability to solve complex problems.

● Driven to ask questions and find solutions.

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

Los Angeles County applicants: Job duties for this position include: work safely and cooperatively with other employees, supervisors, and staff; adhere to standards of excellence despite stressful conditions; communicate effectively and respectfully with employees, supervisors, and staff to ensure exceptional customer service; and follow all federal, state, and local laws and Company policies. Criminal history may have a direct, adverse, and negative relationship with some of the material job duties of this position. These include the duties and responsibilities listed above, as well as the abilities to adhere to company policies, exercise sound judgment, effectively manage stress and work safely and respectfully with others, exhibit trustworthiness and professionalism, and safeguard business operations and the Company’s reputation. Pursuant to the Los Angeles County Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

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 https://amazon.jobs/content/en/how-we-hire/accommodations for more information. If the country/region you’re applying in isn’t listed, please contact your Recruiting Partner.

Our compensation reflects the cost of labor across several US geographic markets. The base pay for this position ranges from $31,200/year in our lowest geographic market up to $62,600/year in our highest geographic market. Pay is based on a number of factors including market location and may vary depending on job-related knowledge, skills, and experience. Amazon is a total compensation company. Dependent on the position offered, equity, sign-on payments, and other forms of compensation may be provided as part of a total compensation package, in addition to a full range of medical, financial, and/or other benefits. For more information, please visit https://www.aboutamazon.com/workplace/employee-benefits. This position will remain posted until filled. Applicants should apply via our internal or external career site.