Job Information
Philips Reimbursement Escalation Specialist (Revenue Cycle) in Plymouth, Minnesota
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 position.
You’re a strong communication, both written and verbal.
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.
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 Plymouth, MN is $34.00 to $55.00 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 Plymouth, MN.
It is the policy of Philips to provide equal employment and advancement opportunities to all colleagues and applicants for employment without regard to race, color, ethnicity, religion, gender, pregnancy/childbirth, age, national origin, sexual orientation, gender identity or expression, disability or perceived disability, genetic information, citizenship, veteran or military status or a person’s relationship or association with a protected veteran, including spouses and other family members, marital or domestic partner status, or any other category protected by federal, state and/or local laws.
As an equal opportunity employer, Philips is committed to a diverse workforce. In order to ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veterans' Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants that require accommodation in the job application process may contact 888-367-7223, option 5, for assistance.
Equal Employment and Opportunity Employer/Disabled/Veteran