Billing Specialist

This is where 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 Billing Specialist will oversee the billing process for customers and patients. They will coordinate and execute processes of front-end medical billing of commercial insurance and government program claims for all Cardiology devices. This consists of:
Ensure all posting of charges are accurate, submit and re-submit billing data to the appropriate insurance providers, process claims, resolve denial instances, and achieve maximum reimbursement for services provided across all lines of business (Commercial/Medicare/Medicaid, etc). The position is responsible for ensuring the efficiency of billing operations by following federal and state billing regulations.

• Review supporting documentation and posted charges for completeness and accuracy. Identify missing / inaccurate information and gather / correct, as necessary in accordance with billing guidelines.
• Complete quality review of patient files to ensure claims are billed accurately and comply with each payer’s rules and regulations.
• Generate commercial insurance and government program claims in system and review for accuracy.
• Conduct audits regularly.
• Perform necessary follow-up functions for timely processing of claims, including, EDI submission via clearinghouse, printing of claims, sorting attachments and mailing when applicable.
• Assist with managing unbillable revenue, clearinghouse rejected claims, and other reports daily, and provide updates to management as needed.
• Reference reimbursement policies/procedures assigned to this role and maintain current knowledge with changes in billing regulations, insurance specific policies, as well as company policy and procedures.
• Identify any areas of opportunity for improved documentation or efficiency in daily work and communicate back to Revenue Cycle Supervisor.
• Follow-up on unbilled claims within the required billing time frames
• Follow-up with any insurance companies regarding any discrepancies to payments
• Working knowledge of CPT and ICD-10 codes
• Quality review of patient and insurance accounts for follow-up as needed to ensure ICD-10 diagnosis is properly documented.
• Perform other project and duties as assigned.

• High school diploma or equivalent required, Associate degree or higher preferred
• 3+ years of experience in a medical related business environment required
• Billing database software experience required
• Clearinghouse and payer portal experience preferred
  
  Knowledge of insurance industry and third-party payer processes
• Proven data entry skills required
• Ability to organize and prioritize workload
• Strong attention to detail and accuracy
• Ability to work independently and manage workload
• Strong written, verbal, and interpersonal communications
• Must be proficient in Excel

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…