Collections Representative (Revenue Cycle)

Job Title

Job Description

Your role:

• Working with various commercial insurance 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.

Youre the right fit if:

• Youve acquired 2 years of experience in healthcare Revenue Cycle Management specifically in reimbursement services insurance billing collections and/or accounts receivable.
• Your skills include:
  • Experience performing insurance verifications.
  • Knowledge of insurance payers including Medicare Medicaid Blue Cross Blue Shield and commercial plans. You have the ability to navigate through various systems to pull information.
  • Familiarity 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.
• Youre 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 companys facilities. Field roles are most effectively done outside of the companys 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 wont 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 $22.00 to $34.00 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.