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This is where your insights influence change. As a member of the Baxter Finance team, you have the critical thinking and analytical mindset that allows you to translate data into meaningful, actionable insights that help teams learn and adapt along the way. We guide our internal partners to understand financial opportunities or realities that move Baxter forward and closer to our mission to save and sustain lives. While you often work independently with your cross-functional team, you always have the greater finance organization to lean on for support and career mentoring.
Job Responsibility:
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
Requirements:
High school diploma or equivalent experience required, associate’s 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
Nice to have:
Cardiology-related experience is a plus
Proven third-party payer experience is strongly preferred
What we offer:
Support for Parents
Continuing Education/ Professional Development
Employee Heath & Well-Being Benefits
Paid Time Off
2 Days a Year to Volunteer
Medical and dental coverage that start on day one
Insurance coverage for basic life, accident, short-term and long-term disability, and business travel accident insurance
Employee Stock Purchase Plan (ESPP)
401(k) Retirement Savings Plan (RSP)
Flexible Spending Accounts
Educational assistance programs
Paid holidays
Paid time off ranging from 20 to 35 days based on length of service