Reimbursement Specialist - Healthcare
Philips - Chicago, IL
Hiring: Reimbursement Specialist - Healthcare Company: Philips Location: Chicago, IL Job Posted Time: 2026-09-10 10:28:42 Employment Type: Full-time About the job Experience: •2+ years of experience in Accounts Receivable Management, Reimbursement, Collections, or Denial Management, with hands-on experience resolving denied and rejected insurance claims and working directly with payers. Required Skills: •Collections Specialist (Chicago, IL; Malvern, PA) •Join a fast-paced revenue cycle team where you’ll take the lead in resolving complex insurance claims, driving timely reimbursements, and making a direct impact on financial performance and operational success. •Manage denied and rejected insurance claims by researching root causes, correcting claim issues, and following up with payers to secure timely reimbursement. Review EOBs, payment variances, aging reports, and negative balances to ensure accurate claim processing. •Work directly with insurance payers to resolve denials, authorization issues, filing errors, and reimbursement discrepancies. Escalate recurring payer trends and recommend process improvements or solutions to leadership. •Verify patient eligibility and benefits, including qualifying diagnoses, prior testing, and authorization requirements. Interpret insurance benefits and claim outcomes to support accurate billing and reimbursement. •Utilize Excel, dashboards, and daily/weekly worklists to track claims activity, monitor productivity, and identify reimbursement trends. Maintain compliance with internal processes, reimbursement standards, and quality expectations. •Support team collaboration by assisting with payer resolution efforts across accounts and ensuring timely follow-up on insurance correspondence and outstanding claims. •You're The Right Fit If Interested candidates, please apply directly through the job posting on company's career page or try via AI auto apply on this platform. Don't miss this opportunity to join a forward-thinking team!