In this role, you have the opportunity to:
Act as a liaison between sales, patients, medical personnel, and other internal/external stakeholders. In addition, this role will review documentation and accurately collect required financial and demographic information for all patients.
You are responsible for (but not limited to):
Obtaining and entering Medicaid authorizations for treatment from various payers and following up on authorization requests, running reports, and identifying expiring authorizations
Accurately maintaining patient files and current authorization information
Coordinating with various locations regarding authorization statuses and assist with insurance verification and other billing office related activities
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)
Other duties and responsibilities as assigned
To succeed in this role, you should have the following skills and experience
Associates Degree in Medical Billing and Coding or Accounting, preferred
1+ years of experience in medical billing, documentation review, and/or data entry
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
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.
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 . 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 on our career website, where you can read stories from our employee blog . Once there, you can also learn about our recruitment process , or find answers to some of the frequently asked questions .
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.