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Financial Clearance Representative

4 months ago

Rosemont, Illinois, United States Philips Full time
Job TitleFinancial Clearance RepresentativeJob Description

As a Financial Clearance Representative, you will assist in revenue generation by handling incoming enrollments from our external customers (practices), verifying benefits, obtaining authorizations, and obtaining all necessary billing information required so the patient receives the correct device in a timely manner.

Your role:

  • Performing insurance verification for all services via online websites or manual phone calls to the payers, including both eligibility and full benefits and estimation of the patient responsibility based on the insurance's contracted rate and the patient's insurance benefits.
  • Selecting the appropriate insurance in the billing system to ensure the claim is being sent to the correct payer to obtain prompt and accurate payments.
  • Initiating prior authorization requests to practices and insurance carriers and follow-up with the insurance or practice via email, fax or phone until resolved.
  • Initiate referral requests with the referring or PCP based on the patient's insurance requirements and follow-up on these requests until resolved.
  • Processing department emails and faxes being sent to the internal processing queue and entering all patient account contact into the patient's file in a timely and accurate manner.
  • Establishing and maintaining effective relationships with Account Executives (communicating with them for priority handling of patients) and all internal customers, including Patient Services (Inbound and Outbound).

You're the right fit if:

  • You've acquired 1+ years of experience in medical billing (preferred).
  • Your skills include experience with Microsoft Office (Word, Excel, and Outlook); Ability to perform data entry with minimal guidance and minimal errors.
  • You have a high school diploma or GED (required).
  • You must be able to successfully perform the following minimum Physical, Cognitive and Environmental job requirements with or without accommodation for this position.
  • You're a strong communicator (verbal and written) and are comfortable with communicating at all levels within the organization.

About Philips

We are a health technology company. We built our entire company around the belief that every human matters, and we won't stop until everybody everywhere has access to the quality healthcare that we all deserve. Do the work of your life to help improve the lives of others.

  • Learn more about our business.
  • Discover our rich and exciting history.
  • Learn more about our purpose.
  • Read more about our employee benefits.

If you're interested in this role and have many, but not all, of the experiences needed, we encourage you to apply. You may still be the right candidate for this or other opportunities at Philips. Learn more about our commitment to diversity and inclusion here.

Philips Transparency Details

The pay range for this position is $ , hourly. The actual base pay offered may vary depending on multiple factors including, job-related knowledge/skills, experience, business needs, geographical location, and internal equity.

In addition, other compensation, such as an annual incentive bonus, sales commission or long-term incentives may be offered. Employees are eligible to participate in our comprehensive Philips Total Rewards benefits program, which includes a generous PTO, 401k (up to 7% match), HSA (with company contribution), stock purchase plan, education reimbursement and much more. Details about our benefits can be found here.

At Philips, it is not typical for an individual to be hired at or near the top end of the range for their role and compensation decisions are dependent upon the facts and circumstances of each case.

Additional Information

US work authorization is a precondition of employment. The company will not consider candidates who require sponsorship for a work-authorized visa, now or in the future.

Company relocation benefits will not be provided for this position. For this position, you must reside in or within commuting distance to Rosemont, IL.

This requisition is expected to stay active for 45 days but may close earlier if a successful candidate is selected or business necessity dictates. Interested candidates are encouraged to apply as soon as possible to ensure consideration.

Philips is an Equal Employment and Opportunity Employer/Disabled/Veteran and maintains a drug-free workplace.