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.

What you'll be doing:

• Review patient accounts, supporting documentation, and charges for completeness, accuracy, and compliance with billing guidelines.

• Conduct quality audits of patient files to ensure claims are billed correctly and meet payer rules and regulations.

• Generate and validate commercial and government insurance claims prior to submission.

• Submit claims through EDI clearinghouses, process paper claims as needed, and manage supporting documentation.

• Monitor and resolve unbillable revenue, claim rejections, unbilled claims, and other billing exceptions within required timeframes.

• Follow up with insurance carriers regarding claim status, payment discrepancies, and outstanding issues.

• Apply working knowledge of CPT and ICD-10 coding to ensure accurate documentation, billing, and claim processing.

• Maintain current knowledge of reimbursement policies and billing regulations, identify process improvement opportunities, and support special projects as assigned.

​What you'll bring:

• 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 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 $44,800 to $61,600 annually. The estimated range is meant to reflect an anticipated salary range for the position. We may pay more or less than of the anticipated range based upon market data and other factors, all of which are subject to change. Individual pay is based on 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.

Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over sponsorship of an employment visa at this time