Reimbursement Specialist - Healthcare

Job Title

Reimbursement Specialist - Healthcare

Job Description

Reimbursement Specialist (Plymouth, MN)

Join the S&RC RespirTech team as a Reimbursement Specialist, where you'll manage insurance claim follow-up, resolve payment issues and denials, and help ensure timely reimbursement for respiratory care products and services.

Your role:

• Follow up on outstanding insurance claims to secure accurate and timely payment from commercial, government, and private-pay accounts. Monitor claim status and work to reduce aging accounts receivable.

• Investigate, resolve, and respond to claim denials, unpaid claims, and payer correspondence. Prepare and submit appeals within payer deadlines and requirements.

• Review payment information, including Explanation of Benefits (EOBs) and Remittance Advice (RA), and process necessary adjustments, overpayments, and balance corrections.

• Communicate and collaborate with insurance carriers and internal teams to resolve reimbursement issues, update insurance information, and support timely collections.

• Maintain compliance with company policies, HIPAA requirements, and reimbursement procedures while supporting special projects, process improvements, and team training initiatives.

You're the right fit if:

• You have a high school diploma or vocational education.

• You’ve acquired 2+ years of experience in Medical Billing and Invoicing, Accounts Receivable/Payable, Contract Management or equivalent.

• Your skills include:

  • Knowledge of insurance payers, including Medicare, Medicaid, Blue Cross Blue Shield and commercial plans.

  • Experience managing medical claim denials, appeals, and recoupments.

  • Knowledge of insurance eligibility verification, benefits, and prior authorizations.

• 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 an analytical and detail-oriented professional with strong problem-solving and communication skills, who thrives working independently in a fast-paced environment while maintaining a collaborative and adaptable team-focused mindset.

How we work together

We believe that we are better together than apart. For our office-based teams, this means working in-person at least 3 days per week. Onsite roles require full-time presence in the company’s facilities. Field roles are most effectively done outside of the company’s main facilities, generally at the customers’ or suppliers’ locations.

This is an office role.

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.

• Learn more about our culture.

Philips Transparency Details

The pay range for this position in Plymouth, MN is $24.00 to $36.00

The actual base pay offered may vary within the posted ranges 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 Plymouth, MN.

#ConnectedCare

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 including Disability/Vets and maintains a drug-free workplace.