Supervisor, Billing & Insurance Verification
Houston, TX - USA
Job Summary
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.
JOB SUMMARY:
The Supervisor Medical Billing & Insurance Verification is responsible for overseeing the daily operations of billing and insurance discovery activities supporting Baxter Cardiology. This position leads a team responsible for the accurate and timely identification of insurance coverage claim submission and resolution of billing-related issues across Commercial Medicare and Medicaid lines of business.
The supervisor is accountable for achieving departmental performance goals related to medical billing and insurance discovery productivity quality compliance and customer service. Responsibilities include supervising staff monitoring operational performance ensuring adherence to payer and regulatory requirements identifying process improvement opportunities and collaborating with cross-functional partners to optimize revenue cycle outcomes and maximize reimbursement.
The role serves as a leader and change agent by promoting employee engagement fostering continuous improvement and supporting organizational initiatives that enhance operational efficiency and financial performance.
What youll be doing:
- Lead coach and develop a team of medical billing and insurance discovery professionals including hiring onboarding performance management and employee development.
- Oversee daily billing and insurance discovery operations to ensure timely claim submission reimbursement follow-up and issue resolution.
- Monitor and manage key performance indicators (KPIs) related to productivity quality billing accuracy insurance discovery success and service levels.
- Analyze billing claims and payer trends to identify challenges and implement solutions that improve reimbursement outcomes.
- Ensure compliance with HIPAA Medicare Medicaid commercial payer requirements and other applicable regulations.
- Drive process improvements to increase clean claim rates reduce denials and accelerate reimbursement.
- Partner with Revenue Cycle Management Patient Financial Services Compliance Operations and other stakeholders to optimize performance and resolve complex issues.
- Lead departmental initiatives workflow enhancements system implementations and change management efforts while ensuring operational efficiency and team engagement.
What youll bring:
- High school diploma or equivalent required; Associates or Bachelors degree in Business Administration Healthcare Administration Finance or a related field preferred.
- 3 to 5 years of experience in healthcare revenue cycle medical billing insurance discovery claims management or reimbursement operations.
- 2 years of supervisory team lead or people leadership experience.
- Strong knowledge of Commercial Medicare and Medicaid billing and reimbursement processes.
- Working knowledge of HIPAA and other federal state and local healthcare compliance regulations.
- Experience utilizing billing systems reimbursement platforms and revenue cycle technologies.
- Familiarity with clearinghouses payer portals eligibility verification systems and insurance discovery tools preferred.
- Understanding of broader revenue cycle functions including claims processing denial management accounts receivable prior authorizations and reimbursement follow-up; experience with cardiology devices or specialty healthcare billing is a plus.
Baxter is committed to supporting the needs for flexibility in the workplace. We do so through our flexible workplace policy which includes a minimum of 3 days a week onsite. This policy provides the benefits of connecting and collaborating in-person in support of our Mission.
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 employees and we strive to be more transparent with our pay practices. The estimated base salary for this position is $60000 - $82500 annually. The estimated range is meant to reflect an anticipated salary range for the position. We may pay more or less than of the anticipated range based upon market data and other factors all of which are subject to change. Individual pay is based on upon location skills and expertise experience and other relevant factors. This position may also be eligible for discretionary bonuses. For questions about this our pay philosophy and available benefits please speak to the recruiter if you decide to apply and are selected for an interview.
Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over sponsorship of an employment visa at this time.
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.
Required Experience:
Manager
About Company
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 ... View more