Specialist, Credit

Job description

This is where your work makes a difference. At Baxter, we believe every person—regardless of who they are or where they are from—deserves a chance to live a healthy life. It was our founding belief in 1931 and continues to be our guiding principle. We are redefining healthcare delivery to make a greater impact today, tomorrow, and beyond. Our Baxter colleagues are united by our Mission to Save and Sustain Lives. Together, our community is driven by a culture of courage, trust, and collaboration. Every individual is empowered to take ownership and make a meaningful impact. We strive for efficient and effective operations, and we hold each other accountable for delivering exceptional results. Here, you will find more than just a job—you will find purpose and pride. Your role: The Respiratory Health Credit Specialist is responsible for resolving credit balances for assigned Third-Party payers and patients in compliance with existing payer contracts and internal policies. What you'll be doing: Research and resolve credit balances on claims for assigned third-party payers and patients in a timely manner and in accordance with third-party payer requirements and Baxter policies and job aids. Resolve credit balances with payers by appealing claims, submitting corrected claims, requesting reprocessing of claims, or issuing refund payment on claims. Resolve claim balances resulting from payer recoupments (payment takebacks) and process payment moves to balance takebacks and payments. Document and follow up on explanations of benefits (EOBs) from payers. Identify and articulate trending payer issues and notify appropriate leaders in a timely manner. Verify insurance benefits and understand coverage criteria. Demonstrate a clear understanding of the upstream and downstream processes that affect the team. Act as a resource and subject matter expert to Accounts Receivable Specialists, Patient Accounts Receivable Specialists, Billing Specialists, and Cash Applications Specialists; provide input to department and cross-functional meetings. What you'll bring: AA or BA/BS degree preferred. 2+ years of medical collections and/or billing required. DME supplier experience preferred with knowledge and understanding of third-party payer requirements. Basic understanding of other revenue cycle functions including billing, cash, and collections. Ability to thrive in independent work environment with strong organizational abilities, and to prioritize workload with a strong sense of urgency. Exceptional written, verbal, interpersonal communication, and presentation skills. Proficiency with Microsoft Office required. Customer service oriented, with the ability to speak knowledgably to payers, patients, and other stakeholders. 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 $51,200-$70,400 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 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. Join us and enjoy the competitive compensation and benefits we offer to our employees. For additional information regarding Baxter US Benefits, please speak with your recruiter or visit our Benefits site: Benefits | Baxter 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. Know Your Rights: Workplace Discrimination is Illegal 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 .