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…