Medical Records and Authorization Specialist

3 weeks 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 Medical Records and Authorization Specialist, you will be responsible for documentation collection and review, prior authorization, and reauthorization submissions. The Medical Records and Authorization Specialist communicates directly with client medical records depts, patients, healthcare teams, sales teams, and insurance companies as well as collaborating cross-functionally with other Cardiology Health teams to coordinate in our mission of Saving and Sustaining Lives.

What you'll be doing

* Ensure coverage and payer requirements.


* Gather clinical documentation to support medical necessity for Cardiology devices.


* Establish and maintain positive partnerships with sales team and healthcare teams.


* Review and assess clinical documentation to ensure all applicable coverage criteria requirements are met.


* Prepare and submit prior authorization initial and renewal requests to all insurance companies including.


* Process authorization decisions from payers timely to streamline and drive revenue.


* Identify payer trends and establish payer-specific strategies to overcome reimbursement challenges.


* Provide superior customer experience by leveraging ability to discuss payer policies, coverage criteria, or any pertinent product information with patients and healthcare teams.


* Understand and adhere to all policies for Baxter and 3rd party payers to ensure the highest standards of quality and compliance.


* Consistently contribute to team goals and understand how they support greater organizational goals.


* Actively seek additional experience and knowledge across all functional areas to gain expertise.


* Provide workload coverage as needed.


* Perform other duties and projects as assigned.



What you'll bring

* 3+ years of experience in medical records, authorization and health insurance within industry required.


* Knowledge of Federal, State, and Local regulations, guidelines, and standards, including a working knowledge of HIPAA rules and regulations.


* Third party payer experience strongly preferred.


* Experience in reviewing medical records and obtaining third-party payer reimbursement.


* Exceptional written, verbal, and interpersonal communications.


* Strong critical thinking and problem-solving skills.


* Detail orientated and ability to multi-task.


* Ability to work independently as well as in a team environment.


* Possess the ability to manage time and prioritize critical priorities.


* Proficiency in Microsoft Office Software.



#LI-DF1

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.

Equal Employment Opportunity

Baxter is an equal opportunity employer. Baxter evaluates qualified applicants without regard to race, color, religion, gender, national origin, age, sexual orientation, gender identity or expression, protected veteran status, disability/handicap status or any other legally protected characteristic.

EEO is the Law

EEO is the law - Poster Supplement

Pay Transparency Policy

Reasonable Accommodations

Baxter is committed to working with and providing reasonable accommodations to individuals with disabilities globally. If, because of a medical condition or disability, you need a reasonable accommodation for any part of the application or interview process, please click on the link here and let us know the nature of your request along with your contact information.

Recruitment Fraud Notice

Baxter has discovered incidents of employment scams, where fraudulent parties pose as Baxter employees, recruiters, or other agents, and engage with online job seekers in an attempt to steal personal and/or financial information. To learn how you can protect yourself, review our Recruitment Fraud Notice.

133750



  • 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...


  • Houston, United States Prelude Fertility Full time

    The Authorization Specialist is responsible for providing a great patient experience by checking patient eligibility and initiating prior authorizations. Includes utilizing online resources, reviewing medical records, calling insurance companies, and completing authorization forms in our Electronic Medical Record system. ESSENTIAL RESPONSIBILITIES:Check...


  • Houston, United States Inception Fertility Corporate Services Full time

    Job DescriptionJob DescriptionThe Authorization Specialist is responsible for providing a great patient experience by checking patient eligibility and initiating prior authorizations. Includes utilizing online resources, reviewing medical records, calling insurance companies, and completing authorization forms in our Electronic Medical Record...


  • Houston, United States Team1Medical Full time

    Job DescriptionJob DescriptionPrior Authorization SpecialistZip Code: Houston, TX 77040 | Location: Northwest Houston | Highway 290 NorthEmployment Type: Temp-to-hire | Workplace Type: On-siteHealthcare Specialty: Billing Services | Salary: $20 - $24 an hourStep into the role of the Prior Authorization Specialist to impact one of Houston's prominent...


  • Houston, United States Veterans Health Administration Full time

    Summary The incumbent serves as a Records and Information Management Specialist - Facility Records Officer and will ensure that institutional federal records of vital, historical, fiscal, and legal value are identified and preserved in accordance with federal laws, regulation, directives, and policies. Duties Duties include, but may not be limited...


  • Houston, United States Vinson and Elkins Full time

    Position Overview The Records Specialist I is responsible for managing the firm's client and administrative materials, both physical files and certain electronic materials; maintaining and updating data on materials to ensure information remains current; coordinating storage and retrieval of files stored offsite; and providing service support and assisting...

  • Records Specialist

    2 days ago


    Houston, United States Harris County Sheriff's Office Full time

    This is a full-time position. This position requires 24-hour coverage, 7 days a week, and includes shift work. The assignments require being able to work various shifts, 6 am-2 pm, 2 pm-10 pm , and 10 pm-6 am. Shift assignments will be based on seniority and the needs of the department. Under general supervision, performs a wide variety of administrative...

  • Medical Records Clerk

    4 weeks ago


    Houston, United States MANA MRI Full time

    Job Overview: **Duties**: - Organize and manage medical records in both electronic and paper filing systems - Ensure accuracy, completeness, and confidentiality of patient information - Retrieve patient records for healthcare providers and other authorized personnel - Process requests for release of medical information - Input data into electronic health...


  • Fort Sam Houston, United States Military Treatment Facilities Under Dha Full time

    Analyze outpatient treatment/health records for completeness and in accordance with regulations and requirements. Utilizing automated medical records systems to retrieved and input information. Applies knowledge of medical record practice, medical terminology,...


  • Houston, United States Vinson & Elkins Full time

    Business Professional and Paralegal Job Openings Job Description - Records Specialist I (1571) Job Description Records Specialist I - ( 1571 ) Description Position Overview The Records Specialist I is responsible for managing the firm’s client and administrative materials, both physical files and certain electronic materials; maintaining and updating data...


  • Houston, United States Maeville Pediatrics Full time

    Job DescriptionJob DescriptionWe are looking for a Medical Billing Specialist to join our team at Maeville Pediatrics in Houston, TX, US. As a Medical Billing Specialist, you will be responsible for handling the revenue cycle management process from start to finish for our pediatric patients. You will process claims, verify accuracy of billing information,...


  • Houston, United States Republic Services, Inc. Full time

    We are looking for a Record Retrieval Specialist that will be the liaison between our company and custodians of records for our clients. **Essential Duties & Responsibilities**: - Manage inbound and outbound calls in a timely manner - Keep records of all conversations in our call center database in a comprehensible way - Communicate with custodians...


  • Houston, United States Team1Medical Full time

    Job DescriptionJob DescriptionMedical Billing and Coding SpecialistZip Code: Houston, TX 77040 | Location: Northwest Houston | Highway 290 NorthEmployment Type: Temp-to-hire | Workplace Type: On-siteHealthcare Specialty: Billing Services | Salary: $22 - $30 an hourStep into the role of the Medical Billing and Coding Specialist to impact one of Houston's...


  • Houston, United States STG International Full time

    STGi provides detention health care services including medical, dental, and behavioral health to individuals in custody within ICE detention facilities.  We are seeking Medical Records Technician candidates for full-time and PRN/Per Diem healthcare positions. REQUIRED EDUCATION AND EXPERIENCEHigh School Diploma or GED equivalent.Minimum of one year...

  • Records Specialist I

    8 hours ago


    Houston, United States Vinson & Elkins Full time

    Position Overview The Records Specialist I is responsible for managing the firm’s client and administrative materials, both physical files and certain electronic materials; maintaining and updating data on materials to ensure information remains current; coordinating storage and retrieval of files stored offsite; and providing service support and assisting...

  • Billing Specialist

    4 weeks ago


    Houston, United States Premier Medical Resources Full time

    Job DescriptionJob Description**$2,000 sign on bonus**Premier Medical Resources is a healthcare management company headquartered in Houston, Texas. At Premier Medical Resources, our goal is to leverage and combine the expertise and skillset of our employees to drive quality in all we do. Our goal is to create career pathways for our employees just starting...


  • Houston, United States URS Medical Full time

    URS Medical, in collaboration with Pediatric Home Service, is a friendly and professional leader in home health industry with a singular passion for and commitment to **_taking care of the child_**. As a leader in home health care, we help kids achieve their best lives at home and in their communities while providing our employees a fun and rewarding place...


  • Houston, United States Premier Medical Resources Full time

    Job DescriptionJob DescriptionPremier Medical Resources is a healthcare management company headquartered in Houston, Texas. At Premier Medical Resources, our goal is to leverage and combine the expertise and skillset of our employees to drive quality in all we do. Our goal is to create career pathways for our employees just starting their professional...

  • Records Clerk

    1 month ago


    Houston, United States EasterSeals Greater Houston Full time

    **Records Clerk - Easter Seals Greater Houston** Easter Seals of Greater Houston, a leading provider of service to people of all ages, with any type of disability, is currently seeking an experienced Records Clerk to join the Billing Department. The role will be primarily responsible for filing, maintenance of all billing charts, maintaining confidential...


  • Houston, United States Premier Medical Resources Full time

    Premier Medical Resources is a healthcare management company headquartered in Houston, Texas. At Premier Medical Resources, our goal is to leverage and combine the expertise and skillset of our employees to drive quality in all we do. Our goal is to create career pathways for our employees just starting their professional career, and to those who seek to...