Credit Specialist

2 weeks ago

Saint Paul, United States Baxter Full time

This is where you save and sustain lives

At Baxter, we are deeply connected by our mission. No matter your role at Baxter, your work makes a positive impact on people around the world. You’ll feel a sense of purpose throughout the organization, as we know our work improves outcomes for millions of patients.

Baxter’s products and therapies are found in almost every hospital worldwide, in clinics, and in the home. For over 85 years, we have pioneered significant medical innovations that transform healthcare.

Together, we create a place where we are happy, and successful and inspire each other. This is where you can do your best work.

Join us at the intersection of saving and sustaining lives— where your purpose accelerates our mission.

Your role at Baxter

THIS IS WHERE you build trust to achieve results…

The Credit Specialist for our Respiratory Health team will be responsible for resolving credit balances for assigned Third-Party payers and patients in compliance with existing payer contracts and internal policies.

What you'll be doing

  • Research and resolve credit balances on claims for assigned third-party payers and patients in a timely manner and in accordance with third-party payer requirements and Baxter policies and job aids.
  • Resolve credit balances with payers by appealing claims, submitting corrected claims, requesting reprocessing of claims, or issuing refund payment on claims.
  • Resolve claim balances resulting from payer recoupments (payment takebacks) and process payment moves to balance takebacks and payments.
  • Document and follow up on explanations of benefits (EOBs) from payers.
  • Identify and articulate trending payer issues and notify appropriate leaders in a timely manner.
  • Verify insurance benefits and understand coverage criteria.
  • Demonstrate a clear understanding of the upstream and downstream processes that affect the team.
  • Act as a resource and subject matter expert to Accounts Receivable Specialists, Patient Accounts Receivable Specialists, Billing Specialists, and Cash Applications Specialists; provide input to department and cross-functional meetings.
  • Other duties as assigned.

What you'll bring

  • 2+ years of experience in medical collections, claims, 3rd party payer and/or billing operations required.
  • DME supplier experience preferred with knowledge and understanding of third-party payer requirements.
  • Basic understanding of other revenue cycle functions including billing, cash, and collections.
  • Ability to thrive in an independent work environment with strong organizational abilities, and to prioritize workload with a strong sense of urgency.
  • Exceptional written, verbal, interpersonal communication, and presentation skills.
  • Ability to develop and maintain positive working relationships with colleagues, business partners, and stakeholders.
  • Proficiency with Microsoft Office required.
  • Customer service-oriented, with the ability to speak knowledgeably to payers, patients, and other stakeholders.

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 collaborating in-person in support of our Mission.

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.

The successful candidate for this job may be required to verify that he or she has been vaccinated against COVID-19, subject to reasonable accommodations for individuals with medical conditions or religious beliefs that prevent vaccination, and in accordance with applicable law.

For further information, and to apply, please visit our website via the “Apply” button below.

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