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Revenue Cycle Management Specialist

2 months ago

Malvern, Arkansas, United States Philips Full time
About the Role

We are seeking a highly skilled Revenue Cycle Management Specialist to join our team at Philips. As a Collections and Reimbursement Expert, you will play a critical role in managing denials, payer aging, and negative balance reports.

Key Responsibilities
  • Denial Management: Escalate payor issue trends for leadership consideration, provide daily follow-up on insurance correspondence, and ensure timely claim payments.
  • Payer Relations: Develop and maintain updates for problem payers, identify, evaluate, and develop systems/procedures to address issues with their payors.
  • Patient Eligibility: Determine patient eligibility, basic benefit verification, and read eligibility of benefits to determine claim processing by insurance carriers.
Requirements
  • Education: High school diploma or GED equivalent (required), bachelor's degree (a plus)
  • Experience: 1+ years of experience in reimbursement services, insurance/medical billing, insurance verification, collections, and/or accounts receivable in medical billing.
  • Skills: Experience with revenue cycle management with insurance companies (a plus) and strong knowledge of Microsoft Word, Excel, and e-mailing systems.
  • Communication: Strong verbal communication with both internal/external partners.
About Philips

We are a health technology company dedicated to improving the lives of others. We believe that every human matters, and we strive to provide quality healthcare to those who need it most.

Compensation and Benefits

The hourly pay range for this position is $21-23 USD Hourly, plus overtime eligible. In addition to a competitive salary, we offer a comprehensive benefits package, including a generous PTO, 401k (up to 7% match), HSA (with company contribution), stock purchase plan, education reimbursement, and more.