Billing Specialist - AR Healthcare (Charge Capture), 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 controllership 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 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 Charge Capture Specialists for the Revenue Cycle team.
As a member of the Revenue Cycle team, the Charge Capture Specialist is responsible for claim submission, following system coding edits, the daily/weekly reconciliation of billing service tickets, and maintaining spreadsheets. This position involves communicating with our facilities on a regular basis and meeting important deadlines. It requires detail, focus, accuracy, speed, timeliness, and computer competency.
Key job responsibilities
• Ensuring accurate and timely charge-entry/claim submission; consistent in performance and delivery of daily goals.
• Maintaining service line agreements and accuracy goals.
• Working Local Edit Errors - system edits that require something to be corrected on the claim prior to submission.
• Working Missing Encounters - encounters where an appointment has been checked out but for which no billing ticket was received.
• Working Orphaned Orders - orders that have been fulfilled but for which no billing ticket has been received.
• Troubleshooting and escalating routine system related issues when appropriate.
• Independently identifies areas of operational opportunity. Prioritizes using analysis and investigation, presents recommendations and drive implementation by collaborating with cross functional teams.
• Reviews and recommends changes to policies and procedures to improve Accounts Receivables processes.
• Acts as the Voice of the Customer by acting and reporting on observed areas for improvement.
• Participates in the development of training materials and quality assurance programs.
• Adheres to charge capture productivity standards as set by leadership.
BASIC QUALIFICATIONS
• Bachelor’s degree in a relevant area of expertise such as healthcare, business, or finance
• Minimum 6 months of employment in primary healthcare or similar healthcare
• At least 6 months experience with the medical billing process and terminology.
• Experience working in shared services. environment with productivity targets.
• Exposure to 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.
• A strong attention to detail.
PREFERRED QUALIFICATIONS
• Experience with US healthcare and health insurance industry.
• SME level understanding of end to end O2C process.
• Has been part of a team that worked on a Six Sigma belt project / Kaizen / Lean projects.
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