Revenue Cycle Analyst I, Amazon One Medical

Amazon

1d•$15 - $27

About The Position

As a member of the Amazon One Medical Revenue Cycle team, this Revenue Cycle Analyst will be responsible for supporting Amazon One Medical Clinical and Revenue Cycle teams in managing and optimizing healthcare revenue cycle operations. Demonstrating increased autonomy and strategic thinking and problem-solving skills, this role will deliver more complex solutions and will lead process improvements. This role reports into the Manager, Revenue Cycle. As part of Amazon One Medical, you will find yourself working with exceptionally talented people committed to driving financial improvement, scalability, and process excellence. To support the growth of Amazon Health Services, 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
1+ years of exceeding quota and key performance metrics experience
Demonstrated understanding of healthcare billing, coding, and reimbursement principles

Nice To Haves

Experience in process improvement
Experience reviewing and analyzing performance metrics to identify areas of opportunity that will drive performance improvement
Experience completing complex tasks quickly with little to no guidance and react with appropriate urgency to situations that require a quick turnaround
Experience prioritizing and handling multiple assignments at any given time while maintaining commitment to deadlines
Build and maintain effective partnerships across teams

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