Healthcare Reimbursement Specialist - Denials and Payers

Philips; Chicago (IL); On-site; USD 36,000 - 56,000; Full time

Benefits offered by this job

Generous PTO

401k with company match

HSA with company contribution

Stock purchase plan

Education reimbursement

Job summary

Philips is seeking a Reimbursement Specialist to join our healthcare revenue cycle team in Chicago, IL or Malvern, PA. You will lead denial management, verify eligibility, and drive timely reimbursements by researching payer reasons and collaborating with payers.

This in-person role requires 2+ years of AR/Reimbursement experience, strong Excel skills, and the ability to navigate multiple systems while maintaining accuracy and compliance with internal processes and quality standards.

Qualifications

• 2+ years in AR, Reimbursement, Collections or Denial Management with payer interaction.
• Strong denial management and claims troubleshooting.
• Knowledge of Medicare, Medicaid, BCBS and commercial plans.
• Proficient with Excel, dashboards, and payer trend analysis.
• Ability to verify benefits and interpret EOBs.
• Experience navigating multiple systems with accuracy.

Responsibilities

• Manage denied and rejected claims by researching root causes and following up with payers for reimbursement.
• Resolve denials, authorizations, filing errors, and discrepancies; escalate trends.
• Verify patient eligibility and benefits including diagnoses and authorizations.
• Track claims using Excel, dashboards, and worklists to identify reimbursement trends.
• Collaborate across accounts to ensure timely payer resolution and follow-ups.

Skills

Accounts Receivable

Denial Management

Payer Relations

Analytical skills

Excel & Dashboards

Education

Bachelor’s degree or higher in finance/accounting/business

High School Diploma or GED or vocational training

Tools

Excel

Job description

Philips is seeking a Reimbursement Specialist to join our healthcare revenue cycle team in Chicago, IL or Malvern, PA. You will lead denial management, verify eligibility, and drive timely reimbursements by researching payer reasons and collaborating with payers.

This in-person role requires 2+ years of AR/Reimbursement experience, strong Excel skills, and the ability to navigate multiple systems while maintaining accuracy and compliance with internal processes and quality standards.