Insurance Verification Specialist

This is where you save and sustain lives

At Baxter, we are deeply connected by our mission. No matter your role at Baxter, 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 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.

What You'll Bring:

• High School Diploma required.

• 2+ years of healthcare related experience in the revenue cycle process with a specialized focus around eligibility and benefit verification, claims submission. Cardiology related experience a plus.

• Knowledge of Federal, State, and Local regulations, guidelines, and standards, including a working knowledge of HIPAA rules and regulations.

• Third-party payer experience strongly preferred.

• Experience with medical record reviews to identify and ensure medical necessity.

• Exceptional written, verbal, and interpersonal communications.

• Excellent customer service skills. The ability to deescalate conflict effectively and quickly as it arises, a plus.

• Strong critical thinking and problem-solving skills.

• Detail orientated and ability to multi-task.

• Ability to work independently and in a team environment.

• Possess the ability to manage time and prioritize critical priorities.

• Proficiency in Microsoft Office Software.

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. The estimated base salary for this position is $41,600 to $57,200 annually. The estimated range is meant to reflect an anticipated salary range for the position. We may pay more or less than the anticipated range based upon market data and other factors, all of which are subject to change. Individual pay is based 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.

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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.

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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

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