Accounts Receivable Representative, Amazon Health Revenue Cycle

Amazon

11d

About The Position

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 dedicated 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.

Requirements

2+ years of insurance accounts receivables or cash posting experience
2+ years of Medicare and Medicare Advantage experience
2+ years of primary healthcare or outpatient setting experience
2+ years of complex healthcare customer service experience
Experience reading EOBs

Nice To Haves

Experience that includes strong analytical skills, attention to detail, and effective communication abilities, or experience working with customers with a passion for delivering exceptional service
Experience working with customers with a passion for delivering exceptional service, or experience that includes strong analytical skills, attention to detail, and effective communication abilities
Experience working proactively and independently, meeting deadlines, and delivering on projects and tasks
Experience in problem solving and delivering results
Experience driving collaborative projects from conception to delivery, or experience troubleshooting and documenting findings

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.