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Spec, Insurance Verification

https://www.baxter.com/ Logo

Baxter

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Location:
United States , Houston

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Category:

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Contract Type:
Not provided

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Salary:

43200.00 - 64800.00 USD / Year

Job Description:

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
  • Family and medical leaves of absence
  • Paid parental leave
  • Commuting benefits
  • Employee Discount Program
  • Employee Assistance Program (EAP)
  • Childcare benefits

Additional Information:

Job Posted:
January 09, 2026

Employment Type:
Fulltime
Work Type:
On-site work
Job Link Share:

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