Collections Specialist (Revenue Cycle)

Koninklijke Philips N.V•Chicago, IL

32d•$23 - $37•Onsite

About The Position

Your role: Working with variousmercial 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. 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 thepany's facilities. Field roles are most effectively done outside of thepany's main facilities, generally at the customers' or suppliers' locations. This is an office role. About Philips We are a health technologypany. We built our entirepany around the belief that every human matters, and we won't stop until everybody everyw 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.

Requirements

2+ years of experience in Revenue Cycle Management, specifically within Collections or Reimbursement Services.
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 andmercial plans.
Ability to navigate through various systems to pull information.
High school diploma or GED (required).
Must be able to successfully perform the following minimum Physical, Cognitive and Environmental job requirements with or without amodation for this position.
Strong verbalmunicator with both internal/external partners
US work authorization is a precondition of employment.
Must reside in or withinmuting distance to Malvern, PA or Chicago, IL.

Nice To Haves

Experience with Soarian is a plus.

Responsibilities

Working with variousmercial 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.