Spec, Insurance Verification
Spec, Insurance Verification
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Job Description
This is whereyour work makes a difference.
At Baxter we believe every personregardless of who they are or where they are fromdeserves a chance to live a healthy life. It was our founding belief in 1931 and continues to be our guiding principle. We are redefining healthcare delivery to make a greater impact today tomorrow and beyond.
Our Baxter colleagues are united by our Mission to Save and Sustain Lives. Together our community is driven by a culture of courage trust and collaboration. Every individual is empowered to take ownership and make a meaningful impact. We strive for efficient and effective operations and we hold each other accountable for delivering exceptional results.
Here you will find more than just a jobyou will find purpose and pride.
About Us:
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 90 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 liveswhere your purpose accelerates our mission.
What youll be doing:
- Develop a flawless strategy to reintegrate patient accounts into the reimbursement process either through acquiring prior authorization performing change of insurance or securing payment on claims.
- Perform detailed research on patient accounts within our Error processing process to identify gaps hindering reimbursement and offer a comprehensive summary for resolution.
- Apply outstanding investigational tools to find patient contact information including classified and confidential databases.
- Ensure the accuracy of patient demographics and benefit information on file to minimize claim submission errors.
- Process claims promptly identifying and resolving issues causing delayed processing and adjudication.
- Identify payer trends and implement payer-specific strategies to overcome reimbursement challenges.
- Review revenue reports like claim validation and return billing report to ensure reimbursement procedures are followed.
- Contact patients families and caregivers as needed to acquire current demographics insurance physician and device usage information to ensure appropriate insurance reimbursement.
- Ensure timely follow-up and completion of errors received and authorizations initiated.
- Foster and uphold favorable relationships with the sales team and other internal and external Cardiology Healthcare teams.
- Offer outstanding customer service through discussions on payer policies coverage criteria or relevant plan and product information with patients sales team and other internal and external Cardiology Healthcare teams.
- Consistently meet efficiency goals while understanding their support for greater organizational objectives.
- Actively seek additional experience and knowledge across all functional areas to gain expertise.
- Provide workload coverage as needed.
- Understand and adhere strictly to all policies for Baxter and third-party payers ensuring the highest standards of quality and compliance.
- Perform other duties and projects as assigned.
What Youll Bring:
- High school diploma or equivalent experience required associates degree or higher preferred.
- 2-3 years of healthcare-related experience in the revenue cycle process with a specialized focus on eligibility and benefit verification and claims submission. Cardiology-related experience is a plus.
- Knowledge of Federal State and Local regulations guidelines and standards including a working knowledge of HIPAA rules and regulations.
- Proven third-party payer experience is strongly preferred.
- Experience with medical record reviews to identify and ensure medical necessity.
- Outstanding written verbal and interpersonal communication skills.
- Excellent customer service skills with the ability to deescalate conflict effectively and quickly.
- Strong critical thinking and problem-solving abilities.
- Diligent and capable of multitasking.
- Ability to work independently and as part of a team.
- Ability to manage time and prioritize critical tasks.
- Proficiency in Microsoft Office Software.
We understand compensation is an important factor as you consider the next step in your career. At Baxter we are committed to equitable pay for all our employees and we strive to be more transparent with our pay practices. To that end this position has an annual salary range of $43200.00 - $64800.00 USD Annual. The above range represents the expected salary range for this position. The actual salary may vary based upon several factors including but not limited to relevant skills/experience time in the role business line and geographic/office location.
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.
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 thelinkhere 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 ourRecruitment Fraud Notice.
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.
Employment Type
Full-Time
