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Billing Specialist

4 months ago

Houston, 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, 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

As the Billing Specialist for our Bardy Diagnostic division, you will be responsible for overseeing the billing process for customers and patients. You 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.

Your team

Bardy Diagnostics, Inc. (“BardyDx”) is an innovator in digital health and remote patient monitoring, with a focus on providing the most diagnostically accurate and patient-friendly cardiac and vital signs patch monitors in the industry.

We're a friendly, collaborative group of people who push each other to do better every day. We find outstanding strategies to close deals and expand our skills by challenging ourselves and others. Whether out in the field with a partner or solving challenges with your territory team, you always have camaraderie and support to help accomplish your goals.

What You'll Be Doing:

  • 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 the 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 knowledge with changes in billing regulations, insurance-specific policies, and 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 limits
  • 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 projects and duties as assigned.

What You'll Bring:

  • High school diploma or equivalent required.
  • 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 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.