Specialist, Patient Account

This is where you save and sustain lives

At Baxter we are deeply connected by our mission. No matter your role at Baxter your work makes a positive impact on people around the world. Youll feel a sense of purpose throughout the organization as we know our work improves outcomes for millions of patients.

Baxters products and therapies are found in almost every hospital worldwide in clinics and in the home. For over 85 years we have pioneered significant medical innovations that transform healthcare.

Together we create a place where we are happy successful and inspire each other. This is where you can do your best work.

Join us at the intersection of saving and sustaining lives where your purpose accelerates our mission.

The Patient Account Specialist duties include but are not limited to; Inquiry Management through phone email and online interactions with patients healthcare teams sales and several internal teams. The Patient Account Specialist is responsible for investigating inquiries to determine an appropriate course of action to solve triage or escalate the inquiry in question. This includes research utilizing publicly available and company provided resources and systems conducting thorough patient account review(s) and performing the necessary tasks or actions ensuring a timely and effective first-time resolution. The Patient Account Specialist communicates directly with patients healthcare teams sales and insurance companies as well as collaborating cross-functionally with other Cardiology Healthcare teams to achieve inquiry resolution.

What Youll Do:

• Quickly establish rapport over the phone while exuding a positive upbeat attitude
• Investigate and validate payer coverage policies and requirements as needed.
• Responsible for Inquiry Management providing timely and accurate resolution of requests or complaints received. Utilization of multiple platforms and systems in an efficient manner allowing prompt investigation and identification of the root cause of the issue while providing accurate first-time resolution that is in alignment with our AR Days as denied by Departmental KPIs.
• Review patient accounts quickly and accurately assessing and identifying customer needs to determine appropriate course of action as defined by Baxter policies and guidelines.
• Ensure accuracy of patient information on file to establish timely and accurate claims processing promptly identifying and solving all claim errors that result in delayed adjudication.
• Identify payer trends and establish payer-specific strategies to overcome reimbursement challenges.
• Establish and maintain positive partnerships with sales and other internal and external Cardiology Healthcare teams.
• Provide effective and superior customer service by leveraging the ability to discuss payer policies coverage criterion or any pertinent plan or product information with patients sales team and other internal and external Cardiology Healthcare teams.
• Consistently meets productivity standards while understanding how they support greater organizational goals.
• Actively seek additional experience and knowledge across all functional areas to gain expertise.
• Provide workload coverage as needed.
• Understand and adhere to all policies established by Baxter and third-party payers to ensure the highest standards of quality and compliance.
• Perform other duties and projects as assigned.

What Youll Bring:

• High diploma or equivalent required Associate degree or higher OR 2-3 years of healthcare related experience in revenue cycle with specialized focus around eligibility and benefit verification authorizations claims submission and denial management. Cardiology related experience a plus.
• Knowledge of Federal State and Local regulations guidelines and standards including a working knowledge of HIPAA rules and regulations.
• CPT and ICD-10 coding experience.
• Third-party payer experience.
• Experience with medical record reviews to identify and ensure medical necessity.
• Proficiency in Microsoft Office Software.
• Strong critical thinking and effective problem-solving skills.
• Exceptional written verbal and interpersonal communications.
• Excellent customer service skills. The ability to deescalate conflict effectively while maintaining a high-level of professionalism strongly preferred.
• The ability to manage time and prioritize critical priorities.
• The ability to work independently and in a team environment strongly preferred.
• Detail orientated and ability to multi-task.

NOTE: The inability to perform any of the following physical requirements does not preclude an applicant from consideration unless following an individualized analysis it is determined that the physical requirement is an essential job function and the applicant is unable to perform such function with or without reasonable accommodation.

At Baxter we strive to build a diverse work force through equal opportunity employment that embraces and leverages the differences everyone has to offer.

This job description is only a summary of the typical functions of the job and not intended to be an exhaustive list of all job responsibilities tasks and duties.

NOTICE: All applicants receiving offers of employment will be required to pass a drug screen and criminal background check as a condition of hire. It is the policy of the Company to maintain a safe workplace free of the influence of illegal drugs and to vigorously comply with the requirements of the Drug Free Workplace Act of 1988.

US Benefits at Baxter (except for Puerto Rico)

This is where your well-being matters. Baxter offers comprehensive compensation and benefits packages for eligible roles. Our health and well-being benefits include medical and dental coverage that start on day one as well as insurance coverage for basic life accident short-term and long-term disability and business travel accident insurance. Financial and retirement benefits include the Employee Stock Purchase Plan (ESPP) with the ability to purchase company stock at a discount and the 401(k) Retirement Savings Plan (RSP) with options for employee contributions and company matching. We also offer Flexible Spending Accounts educational assistance programs and time-off benefits such as paid holidays paid time off ranging from 20 to 35 days based on length of service family and medical leaves of absence and paid parental leave. Additional benefits include commuting benefits the Employee Discount Program the Employee Assistance Program (EAP) and childcare benefits. Join us and enjoy the competitive compensation and benefits we offer to our additional information regarding Baxter US Benefits please speak with your recruiter or visit our Benefits site: Benefits Baxter

Equal Employment Opportunity

Baxter is an equal opportunity employer. Baxter evaluates qualified applicants without regard to race color religion gender national origin age sexual orientation gender identity or expression protected veteran status disability/handicap status or any other legally protected characteristic.

Know Your Rights: Workplace Discrimination is Illegal

Reasonable Accommodations

Baxter is committed to working with and providing reasonable accommodations to individuals with disabilities globally. If because of a medical condition or disability you need a reasonable accommodation for any part of the application or interview process please click on the link here and let us know the nature of your request along with your contact information.

Recruitment Fraud Notice

Baxter has discovered incidents of employment scams where fraudulent parties pose as Baxter employees recruiters or other agents and engage with online job seekers in an attempt to steal personal and/or financial information. To learn how you can protect yourself review our Recruitment Fraud Notice.