Spec, Insurance Verification

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your work makes a difference.

At Baxter, we believe every person-regardless of who they are or where they are from-deserves 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 job-you will find purpose and pride.

The Insurance Verification Specialist (Non-Discovery) provides direct support to the Revenue Cycle Management Department, which includes Reimbursement Services, Cash Application, Patient Account Specialist, Billing and Collections. This position is required to collaborate cross-functionally with other Cardiology healthcare teams to coordinate and align in our mission statement of Saving and Sustaining Lives. The Insurance Verification Specialist position is responsible for verifying patients' insurance coverage, obtaining eligibility and benefits information, securing authorizations when applicable and preparing accurate financial estimates/quotes for medical services.

This role ensures patients understand their coverage, estimated out-of-pocket costs, and payment responsibilities prior to treatment supporting both patient satisfaction and revenue cycle efficiency. Additionally, this position will work with the management team to identify process and procedure gaps, to ensure maximum reimbursement potential.

• Verify insurance eligibility and benefits for patients using payer portals, phone calls and electronic systems.
• Review and interpret insurance plans, coverage limitations, exclusions and coordination of benefits.
• Calculate patient financial responsibility including deductibles, co-pays, co-insurance and non-covered services.
• Obtain prior authorizations, referrals and pre-certifications when required by insurance carriers.
• Document all verification details, benefit information, and communications in the billing system.
• Identify payer trends and establish payer-specific strategies to overcome reimbursement challenges.
• Communicate effectively with patients regarding their insurance benefits, financial estimates and payment options.
• Contact patients/families/caregivers/Clients and Account Executives as needed to obtain current demographics, insurance, physician, and device usage, to ensure appropriate insurance reimbursement.

• High school diploma or equivalent required, Associate's or Bachelor's degree preferred.
• 2+ years of healthcare related experience in the revenue cycle process with a specialized focus around eligibility and benefit verification, claims submission. Cardiology related experience a plus.
• Knowledge of Federal, State, and Local regulations, guidelines, and standards, payer rules, medical coding basics (ICD-10, CPT) including a working knowledge of HIPAA rules and regulations.
• Experience with medical record reviews to identify and ensure medical necessity.
• Ability to work independently and in a team environment.
• Possess the ability to manage time and prioritize critical priorities.
• Proficiency in Microsoft Office Software.

Baxter is committed to supporting the needs for flexibility in the workplace. We do so through our flexible workplace policy which includes a required minimum number of days a week onsite. This policy provides the benefits of connecting and collaborating in-person in support of our Mission. The flexible workplace policy is subject to local laws and legal requirements. At its discretion, Baxter may decide to adjust, suspend, or discontinue as business needs change.

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 $41,600 to $57,200 annually. The estimated range is meant to reflect an anticipated salary range for the position.

We may pay more or less than the anticipated range based upon market data and other factors, all of which are subject to change. Individual pay is based upon location, skills and expertise, experience, and other relevant factors. 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.

This is where your well-being matters. Baxter offers comprehensive…