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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 (but not limited to)

• 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

You are a part of a team

The Aging and Caregiving (ACG) Group. We are responsible for both Operational and Financial aspects of the Philips Lifeline Product. We complete this in an E2E (end to end) operational process which allows us to accurately and efficiently service our subscribers in various capacities.

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

• 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 explore your talents. This job comes with a competitive salary and excellent benefits.

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.

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