Healthcare Finance Operations Specialist

2 days ago


Hyderabad, Telangana, India myGwork Full time
About Amazon Healthcare Global Finance Operations Services

This is a role within the Finance Operations organization that works with every part of Amazon to provide operations accounting and operations excellence services. The team provides backbone systems and operational processes for paying suppliers, invoicing customers, and reporting financial results.

Job Description

The ideal candidate will have exposure to healthcare revenue cycle, including shared services functions such as billing, collections, and cash application. They will be able to learn quickly, experiment with new ideas, and have good customer-obsessed skills to resolve complex dispute management and provide good customer service.

Main Responsibilities
  • Reviewing and investigating claims processing, verifying proper payment, and bringing insurance claims to full resolution through external third-party relationships and cross-functional communication.
  • Maintaining service level agreements regarding assigned accounts receivable tasks while ensuring timely resolution of all claims and prioritizing responsibilities, problem solving, and thinking critically.
  • Conducting regular review and follow-up of accounts receivables, ensuring timely resolution and payment, utilizing multiple reports and worklists, and adhering to applicable guidelines.
  • Designing, developing, and implementing process improvements to prevent denials and reduce internal processing errors.
  • Developing resource material accessible by the team, assisting in training materials for denial management, and training new hires in AR.
  • Finding and resolving market trends with specific payors, escalating when necessary, and utilizing root cause analysis to develop appropriate action plans.
Qualifications

We are seeking candidates with a Bachelor's degree in finance, accounting, or a related field. Minimum 4 years of experience in Insurance Accounts Receivable in RCM space required. Experience working in shared services environment with productivity targets preferred. Exposure to US healthcare and insurance landscape essential. Medicare experience a plus. Strong communication and interpersonal skills required. Proven track record of seeing projects through to completion, thorough follow-through, and ability to work independently with attention to detail necessary. Ability to solve complex problems and driven to ask questions and find solutions desired.

Estimated Salary Range: $80,000 - $120,000 per year

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