In this role, you have the opportunity to
Serve as a core EDI Analyst within our Government Services Division (GSD) supporting stakeholders such as Operations, Sales, Contracts, IT, Accounting and other business partners. This team is responsible for updating accounts accurately and in a timely manner to ensure the end user is not at risk and there are no billing implications.
You are responsible for
Supporting various standard EDI transactions
Ensuring interfaces are performing as designed
Collaborating with payer, clearinghouses and/or trading partners to successfully maintain the EDI processes
Ensuring data integrity
Solving EDI incidents/problems and actively managing and communicating issues
Managing the resolution process as needed
Exchanging information and share knowledge with the team to maximize understanding and the effectiveness
Working cooperatively with Government Services Division (GSD) Billing staff to ensure that EDI requirements are being met on a daily basis
Escalating prolonged EDI issues to GSD manager
Working proactively to establish new EDI partners by working with current non-EDI payers
Maintaining excellent relationships with 3rd party vendors
Additional duties and responsibilities as required and/or assigned
To succeed in this role, you should have the following skills and experience
Bachelor’s in Business Information Systems, Accounting or related course of study preferred
3+ years of experience in medical billing, preferably with Medicaid and Managed Care reimbursement.
2+ years working in EDI production support environment
Strong knowledge of end-to-end EDI processes with proven hands-on experience
Experience with troubleshooting/problem resolution, and handling on boarding requests
In depth knowledge of HIPAA, 835, 837, 270,271, 278 and other healthcare EDI standard formats
Detail oriented & efficiency-minded; good at finding ways to improve processes and operations
Must be technically savvy and comfortable using software, including, but not limited to:
billing software, MS Office, Insurance Portals, and Electronic Claims Submissions.
High aptitude to learn new programs, system integrations, and business processes
Working knowledge of TCP/IP and similar Network/Communications Protocols
Excellent customer service skills with strong written and verbal communication skills
Strong work ethic with proven track record of accuracy, dependability and consistency
Must be able to think independently, have strong problem solving skills, and have a continuous improvement mentality.
Ability to gain the cooperation of others in pursuit of company goals
In this role we offer you
Working at Philips is more than a job. It’s a calling to create a healthier society through meaningful work, focused on improving 3 billion lives a year by delivering innovative solutions across the health continuum at http://www.philips.com/b-dam/corporate/corporateblog/2016/PhilipsChronicDisease_5.jpg . Our people experience a variety of unexpected moments when their lives and careers come together in meaningful ways.
To find out more about what it’s like working for Philips at a personal level, visit the Working at Philips page at http://www.philips.com/a-w/careers/healthtech/working-at-philips/working-at-philips.html on our career website, where you can read stories from our employee blog at http://www.usa.philips.com/a-w/our-people/life-at-philips.html . Once there, you can also learn about our recruitment process at http://www.philips.com/a-w/careers/healthtech.html , or find answers to some of the frequently asked questions at http://www.philips.com/a-w/careers/healthtech/faq.html .
Find out more info about Philips at www.philips.com/na/careers
Ready to start improving lives by putting your personal skills & passions to work?
Philips is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex (including pregnancy), sexual orientation, gender identity, national origin, genetic information, creed, citizenship, disability, protected veteran or marital status.
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.