Insurance Verification 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…

As the Insurance Verification Specialist for our Bardy Division, you will be responsible for providing direct support to the Revenue Cycle Management Department, which includes Reimbursement Services, Cash Application, Patient Account Specialist, Billing and Collections. This position is required to collaborate cross-functionally with other Cardiology healthcare teams to coordinate and align in our mission statement of Saving and Sustaining Lives. The Insurance Verification Specialist position requires use of data analysis tools and reporting, along with comprehensive understanding of the revenue cycle process, to analyze and resolve patient files that did not follow the standard reimbursement process. Additionally, this position will work with the management team to identify process and procedure gaps, to ensure maximum reimbursement potential.

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:

• Develop a plan and/or strategy to get patient accounts back into the reimbursement process flow, either through obtaining prior authorization, performing change of insurance, and/or obtaining payment on claims.

• Complete complex research on patient accounts that fall into our “Error processing” process, to identify the gaps preventing reimbursement and provide a summary for resolution.

• Utilize various investigational tools to locate patient contact info, including use of classified and confidential databases.

• Ensure the accuracy of patient demographics and benefit information on file to reduce claim submission errors.

• Ensure claims are processed promptly, while identifying and resolving claims issues resulting in delayed processing and adjudication.

• Identify payer trends and establish payer-specific strategies to overcome reimbursement challenges.

• Analyze and work various revenue reports, including, but not limited to “claim validation,” “return billing report,” to ensure all reimbursement procedures were followed, and claims can be released to payers or funneled back into the reimbursement process or accounts are closed out in the appropriate manner.

• Contact patients/families/caregivers as needed to obtain current demographics, insurance, physician, and device usage, to ensure appropriate insurance reimbursement.

• Ensure timely follow-up and follow-through of errors received and authorizations initiated.

• Establish and maintain positive partnerships with sales team and other internal and external Cardiology Healthcare teams.

• Provide effective and superior customer service by leveraging ability to discuss payer policies, coverage criterion, or any pertinent plan or product information with patients, sales team, and other internal and external Cardiology Healthcare teams.

• Consistently meets productivity while understanding how they support greater organizational goals.

• Actively seek additional experience and knowledge across all functional areas to gain expertise.

• Provide workload coverage as needed.

• Understand and adhere to all policies for Baxter and third-party payers to ensure the highest standards of quality and compliance.

• Perform other duties and projects as assigned.