In this role, you have the opportunity to
Oversee the day-to-day activities of financial operations medical billing representatives within Philips’ Government services division. In addition, this role will provide direction and guidance to team members to ensure that customers receive excellent service and ensure there are no billing issues or implications.
You are responsible for
Plan the daily activities of the Government Services Division (GSD) Medical Billing team to ensure all revenue cycle activities are performed in a timely manner
Utilize monthly aging accounts receivable reports to follow up on unpaid claims aged over 30 days, filing appeals when appropriate to obtain maximum reimbursement and establish and maintain strong relationships with all stakeholders
Obtain authorizations for services and enter authorization, insurance, and demographics accurately and timely
Accurate and timely entry of CPT and diagnosis codes and the relevant authorizations to ensure clean claims are released
Communicate proactively of billing issues
Ensure all claims are submitted with a goal of zero errors
Verify completeness and accuracy of all claims prior to submission.
Timely follow up on insurance claim denials, exceptions or exclusions
Read and interpret insurance explanation of benefits
Respond to inquiries from case managers, insurance companies, patients and providers and internal customers such as sales
Regularly attend monthly staff meetings and continuing educational sessions as requested
Prepare and present reports on Revenue Cycle activities for management
Other duties and responsibilities as assigned You are a part of In 2017, Governor Bill Haslam announced that Philips would be bringing 800 new jobs to Tennessee at https://www.usnews.com/news/best-states/tennessee/articles/2017-08-24/philips-to-build-health-technology-center-in-tennessee . Since the announcement, Philips Global Business Services North America has continued to expand and develop in the Greater Nashville area. Philips is a global leader in health technology that makes life better for people, like you, through meaningful innovation. This position will be a part of our Global Business Services (GBS) group responsible for leading operational execution, reducing complexity and increasing efficiencies as the in-house team that continuously improves performance to better support our customers. We are looking to build a new team in Nashville of passionate, inspirational, collaborative and diverse professionals empowering excellence around the world for Philips to achieve our mission to improve the lives of 3B people a year by 2030. To succeed in this role, you should have the following skills and experience
Associates Degree in Medical Billing and Coding or Accounting, is preferred or a combination of 2 years of relevant work experience in the medical billing field
3+ years of medical billing experience, preferably with Medicaid and Managed Care reimbursement
1+ years of supervisory experience or a minimum of 1 year of experience operating as a senior team member or in a team lead capacity
Experience in CPT and ICD-10 coding; familiarity with medical terminology.
Computer experience is essential, 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, strong written and verbal communication skills
Ability to manage relationships with various Insurance payers
Experience in filing claim appeals with insurance companies to ensure maximum entitled reimbursement
Ability to multi-task and work courteously and respectfully with fellow employees, clients and patients
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
Team player, ability to gain the cooperation of other in pursuit of company goals
Demonstrated ability and willingness to act as a role model and able to manage multiple tasks in a fast paced environment
In return, we offer you
We offer you a dynamic working environment in an innovative business, which offers you excellent opportunities to further develop and fully exploit your talents. This job comes with a competitive salary, excellent benefits and up-to-date training.
Company relocation benefits will not be provided for this position. Candidates need to live within the territory or within commuting distance to the Greater Nashville area.
Why should you join Philips?
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 .
It is the policy of Philips to provide equal employment and advancement opportunities to all colleagues and applicants for employment without to age, color, citizenship, disability or perceived disability, ethnicity, gender, gender identity or expression, genetic information, marital or domestic partner status, military or veteran status, national origin, pregnancy/childbirth, race, religion, sexual orientation, or any other category protected by federal, state and/or local laws. Philips is an equal employment opportunity and affirmative action employer Disability/Veteran.
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.