Patient Financial Services Manager – AR HealthCare, HealthCare

DESCRIPTION

The Finance Operations organization works with every part of Amazon to provide operations accounting and operations excellence services with the highest level of controller-ship at the lowest cost to the company. We provide the backbone systems and operational processes which completely, accurately, and validly pay Amazon’s suppliers, invoice our customers and report financial results. Amazon is quickly building the Finance Operations capabilities in the healthcare industry by creating the Healthcare Finance Operations Services.

As part of the Healthcare 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 the Healthcare Finance Operations Patient Financial Services (PFS) Manager, you will have oversight of the people, process, and technology functions for medical revenue cycle operations including, but not limited to, billing, claims management and AR management.

The ideal candidate will have prior leadership experience in Revenue Cycle Management – PFS. You are experienced in ensuring compliance with applicable regulations and developing mechanisms for operational adherence to these policies.

This is both a strategic and a hands-on role that requires strong leadership skills, a high degree of organization, strong written and verbal communication, and a passion for collaboration in the design of data driven programs that optimize reimbursement and revenue and with a focus on the shared services functions. The Manager will have a deep knowledge of the healthcare industry, or a willingness to learn.

Key job responsibilities

• Lead a team that proactively reaches out to patients with open balances and assisting them with payment options
• Partner with admin team on member’s billing needs via 1Life’s tasking system to provide the best customer service
• Educating admins and patients to better understand health insurance benefits through open balances
• Escalation point on answering patient inquiries for complex billing cases and questions
• SME for claims investigation through insurance to ensure they were processed according to the patient benefit plan via internal tools
• Reaching out to patients when bill payments were unable to be processed (i.e. bounced checks, declined cc’s) to offer options for resolution
• 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 teams service level agreements in response time to admins and patients

BASIC QUALIFICATIONS

• Bachelors degree in a relevant area of expertise in Healthcare RCM.
• Minimum of 3 years of progressively responsible revenue cycle management with strong working knowledge of patient financial services process.
• Financial management skills including the ability to financially analyze data for operations, auditing, and forecasting; basic accounting knowledge; staffing and financial reporting skills.
• Experience leading cross-org discussions and working with a matrixed team of stakeholders to achieve common goal.
• Excellent written, presentation and verbal communication skills at the executive level.
• Proven track record of taking ownership and driving results.
• Strong bias for action and be able to work iteratively.
• Possesses an exceptional eye for detail and process improvement.

PREFERRED QUALIFICATIONS

• Multi-state, federal and jurisdictional payor and reimbursement experience.
• Project management experience.
• Global process management working across multiple time zones.
• Must possess solid analytical skills and be able to make quick, effective decisions under pressure. • Strong critical thinking skills with ability to challenge normal operations.
• Trained in HIPAA guidelines.
• Active credential/coding certification (e.g. RHIT, CCA, CCS or CPC) or commitment to obtain within one year of hire.

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