Collections Specialist (Revenue Cycle)

Job Title

Job Description

Your role:

• Working with various commercial insurnace payers to resolve claims and denials.
• Escalating payor issue trends for leaderships consideration along with possible solutions. Providing daily follow-up on insurance correspondence to ensure claim payments are made in a timely manner.
• Developing and maintaining updates for any problematic payers and assisting in identifying, evaluating and developing systems /procedures to address issues.
• Determining patient eligibility along with basic benefit verification (qualifying diagnoses, prior testing and authorization requirements) and reading eligibility of benefits, to determine claim processing by insurance carriers.

You're the right fit if:

• You’ve acquired 2 years of experience in Revenue Cycle Management, specifically within Collections or Reimbursement Services.
• Your skills include:
  • Experience with denial management, claim follow up, overturning denials and identifying payer issue trends.
  • Knowledge of insurnace payers, including Medicare, Medicaid, Blue Cross Blue Shield and commercial plans. You have the ability to navigate through various systems to pull information.
  • Experience with Soarian is a plus.
• You have a high school diploma or GED (required).
• You must be able to successfully perform the following minimum Physical, Cognitive and Environmental job requirements with or without accommodation for this position .
• You’re a strong verbal communicator with both internal/external partners

How we work together

We believe that we are better together than apart. For our office-based teams, this means working in-person at least 3 days per week. Onsite roles require full-time presence in the company’s facilities. Field roles are most effectively done outside of the company’s main facilities, generally at the customers’ or suppliers’ locations.

This is an office role.

About Philips

We are a health technology company. We built our entire company around the belief that every human matters, and we won't stop until everybody everywhere has access to the quality healthcare that we all deserve. Do the work of your life to help improve the lives of others.

• Learn more about our business .
• Discover our rich and exciting history.
• Learn more about our purpose.
• Learn more about our culture.

Philips Transparency Details

The pay range for this position in Malvern, PA and Chicago, IL is $23.00 to $37.00 hourly.

The actual base pay offered may vary within the posted ranges depending on multiple factors including job-related knowledge/skills, experience, business needs, geographical location, and internal equity.

In addition, other compensation, such as an annual incentive bonus, sales commission or long-term incentives may be offered. Employees are eligible to participate in our comprehensive Philips Total Rewards benefits program, which includes a generous PTO, 401k (up to 7% match), HSA (with company contribution), stock purchase plan, education reimbursement and much more. Details about our benefits can be found here .

At Philips, it is not typical for an individual to be hired at or near the top end of the range for their role and compensation decisions are dependent upon the facts and circumstances of each case.

Additional Information

US work authorization is a precondition of employment. The company will not consider candidates who require sponsorship for a work-authorized visa, now or in the future.

Company relocation benefits will not be provided for this position. For this position, you must reside in or within commuting distance to Malvern, PA or Chicago, IL.

#ConnectedCare

This requisition is expected to stay active for 45 days but may close earlier if a successful candidate is selected or business necessity dictates. Interested candidates are encouraged to apply as soon as possible to ensure consideration.

Philips is an Equal Employment and Opportunity Employer including Disability/Vets and maintains a drug-free workplace.