Reimbursement Specialist

17 hours ago


Saint Paul, Minnesota, United States Hill-Rom Full time
About the Role

We are seeking a highly skilled Reimbursement Specialist to join our team at Baxter. As a key member of our Respiratory Health team, you will play a critical role in ensuring that our products and therapies are accessible to patients in need.

Key Responsibilities
  • Verify patient eligibility and benefits to determine coverage and payer requirements.
  • Ensure accurate benefit information is loaded to reduce rework and facilitate clean claims.
  • Gather clinical documentation to support medical necessity for Respiratory Health products.
  • Assess clinical documentation to ensure compliance with prescription, face-to-face, and coverage criteria requirements.
  • Prepare and submit prior authorization requests to insurance companies, including commercial and government payers.
  • Process authorization decisions from payers in a timely manner to streamline revenue.
  • Negotiate payment rates for letter of agreement to maximize collection potential.
Requirements
  • Associate's degree or higher preferred.
  • 3+ years of industry experience, preferably in health insurance and/or durable medical equipment.
  • Third-party payer experience strongly preferred.
  • Exceptional written, verbal, and interpersonal communication skills.
  • Strong critical thinking and problem-solving skills.
  • Detail-oriented and ability to multitask.
  • Ability to work independently and in a team environment.
  • Proficiency in Microsoft Office software.
  • Experience with Total Information Management System (TIMS) a plus.
What We Offer

Baxter is committed to supporting the needs of our employees and offers a flexible workplace policy, including a minimum of 3 days a week onsite. We also offer competitive compensation and benefits, including equitable pay for all employees.

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.



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