Medical/Healthcare Billing Specialist

Aquí es donde salvas y sostienes vidas

En Baxter, estamos profundamente conectados por nuestra misión. No importa tu rol en Baxter, tu trabajo tiene un impacto positivo en la gente alrededor del mundo. Sentirá un propósito en toda la organización, ya que sabemos que nuestro trabajo mejora los resultados para millones de pacientes.

Los productos y terapias de Baxter se encuentran en casi cada hospital del mundo, el clínicas y en los hogares. Por más de 85 años hemos sido pioneros en innovaciones médicas significativas que transforman el cuidado en salud.

Juntos creamos un lugar donde somos felices, exitosos y nos inspiramos mutuamente. Aquí es donde puedes hacer tu mejor trabajo.

Únete a nosotros en la intersección de salvar y sostener vidas-donde tu propósito acelera nuestra misión.

Your role at Baxter

THIS IS WHERE you build trust to achieve results!

The Billing Specialist will be responsible for the billing process. This role will coordinate and implement processes for medical billing of commercial insurance and government program claims for all Cardiology devices. This will include ensuring all posting of charges are accurate, submit and re-submit billing data to the appropriate insurance providers, resolve claim rejection instances, and achieve maximum reimbursement for services provided across all lines of business (Commercial/Medicare/Medicaid). The position is also 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.

We're a friendly, collaborative group of people who push each other to do better every day! We find outstanding strategies to close deals and expand our skills by challenging ourselves and others. Whether out in the field with a partner or solving challenges with your territory team, you always have camaraderie and support to help accomplish your goals!

What you'll be doing

• Review supporting documentation and posted charges for completeness and accuracy. Identify missing / inaccurate information and gather / correct, as necessary, following billing guidelines.

• Complete quality review of patient files to ensure claims are billed accurately and align with each payer’s rules and regulations.

• Perform necessary follow-up functions for the timely processing of claims, including EDI submission via clearinghouse, printing of claims, sorting attachments, and mailing when applicable.

• Assist with handling un billable 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 current 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 the billing supervisor.

• Follow up on unbilled claims within the required billing time frames

• Solid understanding of CCI Edits, CPT, and ICD-10 codes

• Basic understanding of insurance verifications and patient demographics

• Perform other projects and duties as assigned.

What you'll bring

• High school diploma or equivalent required; associate's 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 Microsoft 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 transpar