Billing Specialist

BAXTER


Date: 3 days ago
City: Houston, TX
Salary: $41,600 - $57,200 per year
Contract type: Full time

This is where you save and sustain lives

At Baxter, we are deeply connected by our mission. No matter your role, 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 ensuring all posting of charges are accurate, submitting and re-submitting billing data to the appropriate insurance providers, processing claims, resolving denial instances, and achieving 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.

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 required minimum number of days a week onsite. This policy provides the benefits of connecting and collaborating in-person in support of our Mission. The flexible workplace policy is subject to local laws and legal requirements. At its discretion, Baxter may decide to adjust, suspend, or discontinue as business needs change.

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.

US Benefits at Baxter (except for Puerto Rico)

This is where your well-being matters. Baxter offers comprehensive compensation and benefits packages for eligible roles. Our health and well-being benefits include medical and dental coverage that start on day one, as well as insurance coverage for basic life, accident, short-term and long-term disability, and business travel accident insurance. Financial and retirement benefits include the Employee Stock Purchase Plan (ESPP), with the ability to purchase company stock at a discount, and the 401(k) Retirement Savings Plan (RSP), with options for employee contributions and company matching. We also offer Flexible Spending Accounts, educational assistance programs, and time-off benefits such as paid holidays, paid time off ranging from 20 to 35 days based on length of service, family and medical leaves of absence, and paid parental leave. Additional benefits include commuting benefits, the Employee Discount Program, the Employee Assistance Program (EAP), and childcare benefits.

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.

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.

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