Philips Reimbursement Escalation Specialist Revenue Cycle 

United States, Minnesota 

597101780

Reimbursement Escalation Specialist (Revenue Cycle)
Job Description

As a Reimbursement Escalation Specialist you will analyze, problem solve and reconcile new and aging claims.

Your role:

• Escalating, tracking and reporting on reimbursement trends to the Revenue Cycle Management team on a daily, weekly and monthly basis.
• Working with insurnace carriers to clarify issues related to claims and managing payer prepayment audits.
• Addressing inquiries or requests for help in resolving complicated or escalated claims from cross-functional teams, which includes Cash Application Specialists, Payer Relations, Patient Collections, and Reimbursement.
• Reviewing and approving claims adjustment requests to validate all collection actions from work instruction have been followed, while also ensuring claims processing steps, appeals, credits and refunds are compliant with specific payer requirements.
• Building positive relationships with operations and collection teams to minimize claims payment turnaround time.
• Communicating with patients regarding outstanding balances and establishing and approving payment plans.

You're the right fit if:

• You’ve acquired 4+ years of experience in medical claims billing or collections and 1+ years in a lead or supervisory role within Revenue Cycle Management.
• Your skills include:
  • Knowledge of insurnace payers, including Medicare, Medicaid, Blue Cross Blue Shield and commercial plans.
  • Managing denials, claim appeals and claim recoupments.
  • Knowledge of eligibility of benefits and authorizations.
• You have a high school diploma or GED (required) or equivalent work experience or combination of secondary education and work experience
• 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 communication, 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 $34.00 to $55.00 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.