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Philips Sales Manager - Peripheral Image Guided 
United States, California, Los Angeles 
143438624

Yesterday
Reimbursement Specialist


Your role:

  • Performing accurate and timely collection of billed and unpaid DME claims related to Commercial, Federal and State insurance plans and private pay accounts; monitoring and minimizing aged accounts receivables and ensuring follow up on claims is within payer turn-around-time standards.
  • Obtaining and tracking claim status via phone and online portals, monitoring and responding to denials and claims related correspondence and updating claims related to change of insurance. Composing and following up on claims appeals within specified payer timelines and protocols.
  • Appropriately identifying, addressing, submitting or performing process adjustments for overpayments and outstanding balances.
  • Reviewing and responding to payment information associated with Explanation of Benefits or Remittance Advice documents.
  • Building relationships and collaborating with internal and external parties, including insurance carriers and representatives, and various departments within Philips.
  • Maintaining strict confidentiality of patient personal information, as well as HIPAA compliance.

You're the right fit if:

  • You’ve acquired 2+ years of experience in medical claims billing or Revenue Cycle collections.
  • Your skills include:
    • Knowledge of insurance payers including Medicare, Medicaid, Blue Cross Blue Shield and/or commercial plans.
    • Managing denials, claim appeals and claim recoupments.
    • Knowledge of eligibility of benefits and authorizations.
  • You have a High School Diploma or Vocational Education.
  • You must be able to successfully perform the following minimum Physical, Cognitive and Environmental job requirements with or without accommodation for this .
  • You’re a strong communicator, both written and verbal.

How we work together

This is an office role.

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.

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The pay range for this position in Plymouth, MN is $20.50 to $32.00 hourly.

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.