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Philips Medical Billing Specialist (Government Services Division) in Nashville, Tennessee


In this role, you have the opportunity to:

Perform in a dynamic and fast-paced environment where you will use your medical billing, collecting knowledge and experience to obtain maximum reimbursement while establishing strong relationships with insurance companies and customers.

You are responsible for

  • Obtaining and entering Medicaid authorizations, insurance and demographic information accurately and timely to ensure clean claims are released

  • Reviewing claims for the accuracy of procedures, diagnoses, demographic and insurance information

  • Obtaining and entering referrals, payer changes, equipment upgrades, information updates, etc.

  • Reviewing and correcting all claims/charge denials and edits that are communicated via Explanation of Benefits (EOB)

  • Monitoring days in A/R and ensures that they are maintained at the levels expected by management

  • Communicating proactively of any billing issues identified

  • Timely follow-up on insurance claim denials and exceptions

  • Reading and interpreting insurance Explanation of Benefits

  • Responding to inquiries from case managers, insurance companies, and internal customers in a timely manner

  • Regularly attending monthly staff meetings and in-house training events

  • Additional duties and responsibilities as required and/or assigned

To succeed in this role, you should have the following skills and experience

  • Associates Degree in Medical Billing and Coding or Accounting, preferred

  • 2+ years of experience in medical billing, preferably with Medicaid and Managed Care reimbursement

  • Familiarity with CPT and ICD-10 coding and medical terminology

  • 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

  • Excellent customer service skills with strong written and verbal communication skills.

  • Ability to manage relationships with various insurance payers

  • Strong work ethic with proven track record of accuracy, dependability and consistency

  • Must be able to think independently, multitask, have strong problem solving skills, and have a continuous improvement mentality.

  • Ability to gain the cooperation of others in pursuit of company goals ·

You are a part of

A culture where collaboration and team building is embraced! You will be recognized for your individual achievements as well as your contribution to the team dynamic!

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 . 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 on our career website, where you can read stories from our employee blog at . Once there, you can also learn about our recruitment process at , or find answers to some of the frequently asked questions at .

Find out more info about Philips at

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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.