Collection Specialist (Revenue Cycle)

1 Week ago • 2 Years +

Job Summary

Job Description

The Collection Specialist will work with various commercial insurance payers to resolve claims and denials. They will also escalate payer issue trends, provide daily follow-up on insurance correspondence, and assist in identifying and developing systems/procedures to address issues. Additionally, the specialist will determine patient eligibility and verify benefits to ensure claim processing. They need to have at least 2 years of experience in revenue cycle reimbursement services.
Must have:
  • 2+ years of experience in revenue cycle.
  • Knowledge of insurance payers like Medicare & Medicaid.
  • Ability to navigate various systems to pull information.
  • High school diploma or GED required.
  • Strong verbal communication skills.
Good to have:
  • Experience with Soarian is a plus.
Perks:
  • Generous PTO
  • 401k (up to 7% match)
  • HSA (with company contribution)
  • Stock purchase plan
  • Education reimbursement

Job Details

Job Title

Collection Specialist (Revenue Cycle)

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 reimbursement services, medical billing, insurance verification, collections or Accounts Receivable in medical billing.
  • Your skills include 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.

Philips Transparency Details

The pay range for this position in 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 Chicago, IL.

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.

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About The Company

At Philips, we believe that every human matters. As a global health-tech leader, we focus on improving people’s health and wellbeing through meaningful innovation. The people who work here share our passion and are motivated to bring this purpose to life.For more than 130 years, we have been creating technologies and innovations that improve people's lives and support healthcare practitioners. Headquartered in the Netherlands and operating in more than 100 countries globally, we focus our advanced technology and deep clinical and consumer insights on Precision Diagnosis, Image Guided Therapy, Enterprise Informatics, Monitoring/ Connected Care, Sleep & Respiratory Care and Personal Health.Together, we deliver better care for more people because we believe that every human matters.

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