Claims and Invoicing Specialist

Claims Specialist

Duties: Amwell digitally empowers payers, providers and innovators, enabling an ecosystem of care that spans across in-person, virtual and automated care. Amwell provides a leading hybrid care enablement platform in the United States and globally, connecting and enabling providers, payers, patients, and innovators to deliver greater access to more affordable, higher quality care. Amwell believes that hybrid care delivery will transform healthcare. The company offers a single, comprehensive platform to support all digital health needs from urgent to acute and post-acute care, as well as chronic care management and healthy living. With nearly two decades of experience, Amwell powers the hybrid care of more than 55 health plans, which collectively represent more than 90 million covered lives, and many of the nation's largest health systems, representing over 2,000 hospitals, have access to Amwell solutions. The Claims Specialist will play a critical role in the Finance department. Specifically, the Claims Specialist will own the claims process and its financial impact on Amwell. This finance position will work closely with other departments including project management to ensure all claims are collected in a timely manner.

Core Responsibilities:

• Own financial reporting and communication with Change Healthcare (CHC) for AMG team
• Ensure the claims process is functioning correctly and any variance are reported
• Ensure that all claims that are being sent from Looker are being received by CHC
• Maintain claims accounts receivable aging and provide receivables analysis at the end of each period or on an ad-hoc basis as requested.
• Monthly preparation and communication of CHC reporting
• Analyze and report any variance or shortfalls in the claims collection process
• Work closely with CHC to ensure claims are being processed and paid in a timely manner and report on trends or issues with CHC that are affecting the claims process
• Assist internal departments with claims related reporting including ad-hoc reporting
• Perform claim related audits and controls as requested by auditors
• Perform audits of Looker and other internal resources to ensure that future claims are generated correctly
• Collaborate with team on Looker reporting and analysis to further improve financial reporting
• AMG Visit related invoice creation
• Liaison between AMG Finance and visit invoice customers
• Analysis to ensure all pieces of visit revenue are being billed and collected
• Ad-hoc visit related tasks as needed

Your Team: Should you join American Well and the Accounting and Finance team, you can expect: Accounting and Finance is a service-oriented organization that is responsible for supporting the company's operations in all aspects of its business. We have deployed sophisticated enterprise resource planning solutions across the company to support the company's growth to deliver actionable information to all stakeholders. The Accounting and Finance team is made up of dedicated professional team members. Our day-to-day work involves dealing with complex accounting and tax matters and building sophisticated financial models to support key company decisions including cost benefit and ROI models. Our organization is charged with the month-end close, financial reporting and analysis, tax compliance and planning, customer claims processing and management, customer invoicing, payroll, financial systems.

Hardware and Software Requirements: Unless otherwise approved by Client, Supplier shall provide the hardware and software needed for the Supplier Employees to use when performing the Services for Client. The requirements of such hardware and software products shall be contained in the Supplier Handbook. Supplier shall ensure that all requirements are met and shall immediately contact Magnit if any of the hardware or software is found to be not in compliance.

Keywords:

Education: Qualifications:

• 3+ years direct relevant work experience
• Ability to work in a team and establish strong cross-communication across various departments
• A self-starter who is consistent and proactive
• Strong analytical skills and understanding of process flow
• Ability to present complex data in a simplify manner
• Attention to detail and well-developed organizational skills
• Desire to drive efficiency and process improvement
• Strong working knowledge of Microsoft Excel
• Healthcare industry medical billing experience strongly preferred
• Knowledge of Netsuite accounting system is a plus
• Knowledge of Change Healthcare is a plus
• Experience with Salesforce.com is an advantage
• Strong interpersonal and presentation skills

Bachelor's degree in Finance, Accounting, or related field