Sr Mgr, Revenue Cycle Management

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.

THIS IS WHERE you build trust to achieve results

As the Senior Revenue Cycle Manager, you will be responsible for leading the Medicare and File Resolution teams for the Respiratory Health home care portfolio whose functions include, medical documentation collection, Medicare Clinical Review, Medicare Appeals, Medicare and Managed Medicare Accounts Receivable, Medicare Audits and Change of Insurance.

We are open to applicants being based in our Deerfield IL, St Pauls MN, Skaneateles Falls, NY locations

What You'll Be Doing:

• Oversee a staff including leaders (exempt) and individual contributors (non-exempt).
• Establish and manage team to execute departmental standard operating procedures, standard of work, and service level agreements.
• Monitor daily, weekly, monthly, and quarterly KPI’s/metrics and productivity and adjust as necessary to meet business goals and objectives.
• Monitor CMS Rules and Regulations and work with business leaders to implement changes.
• Monitor Medicare Audits and analysis results for trends.
• Manage escalation process to identify trends and aid in driving resolution to process, team member, or payer challenges for escalated issues.
• Collaborate cross-functionally to lead denial management program to identify opportunities to improve payer outcomes and maximize reimbursement coverage for patients.
• Ensure team’s understanding and adherence to all polices for Baxter and third-party payers to achieve the highest standards of quality and compliance.
• Collaborate with cross-functional stakeholders including sales team and other internal teams to drive continuous improvement and meet business goals and objectives.
• Identify and implement technology enhancements to improve department efficiencies. 
• Partner with Business Improvement to design, validate, and maintain metric and reporting tools and dashboards.
• Lead the team in a superior internal and external customer experience by leveraging ability to discuss Medicare policies, coverage criteria, benefit details, potential costs, or any other pertinent product information.
• Recruit, hire, and train staff including on-going performance evaluation, feedback, and accountability to established standards.
• Coach, mentor, and develop staff to develop and retain the highest level of talent
• Maintain daily, positive communication with team members, sales organization, and other departments to foster a collaborative and inclusive culture.
• Actively seek additional industry experience and knowledge to stay up to date with the ever-evolving DME landscape to gain expertise.

What You'll Bring:

• BS/BA degree required.
• 5+ years of experience in Revenue Cycle Management, preferably with a DME supplier.
• 3+ years of experience in DME -Medicare preferred.
• 3+ years of leadership/management experience required.
• Knowledge of federal, state, and local regulations, guidelines, and standards, including a working knowledge of Compliance and HIPAA rules and regulations.
• Knowledge of Third-Party Payer rules and requirements.
• Basic understanding of other revenue cycle functions including coding, billing, and collections.
• Proficiency in Microsoft Office Software, Excel and Power BI preferred.
• Proficiency in Third-Party billing system, TIMS preferred.
• Exceptional written, verbal and interpersonal communication and presentation skills.
• Detail oriented.
• Proven change management and strong management skills.
• Strong organizational abilities.
• Collaboration skills working with a cross-functional team members.

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