Billing Specialist

Baxter Healthcare; Houston (TX); On-site; USD 45,000 - 62,000; Full time

Benefits offered by this job

Onsite 3 days per week

Job summary

Baxter Healthcare in Houston, TX, is seeking a Billing Specialist to oversee front-end medical billing for commercial and government claims across Cardiology devices, ensuring accurate posting of charges, submitting data to insurers, processing claims, resolving denials, and maximizing reimbursement under federal and state regulations.

The role requires a HS diploma or equivalent (associate preferred), 3+ years in a medical billing environment, experience with billing software and

Qualifications

• High school diploma or equivalent required; associate degree preferred.
• At least 3 years in a medical-related business environment.
• Experience with billing databases and clearinghouses.
• Knowledge of CPT/ICD-10 is helpful; strong payer communication.
• Proficient data entry with excellent attention to detail.

Responsibilities

• Review patient accounts, supporting documentation, and charges for completeness, accuracy, and compliance with billing guidelines.
• Conduct quality audits of patient files to ensure claims are billed correctly and meet payer rules and regulations.
• Generate and validate commercial and government insurance claims prior to submission.
• Submit claims through EDI clearinghouses, process paper claims as needed, and manage supporting documentation.
• Monitor and resolve unbillable revenue, claim rejections, unbilled claims, and other billing exceptions within required timeframes.
• Follow up with insurance carriers regarding claim status, payment discrepancies, and outstanding issues.
• Apply working knowledge of CPT and ICD-10 coding to ensure accurate documentation, billing, and claim processing.
• Maintain current knowledge of reimbursement policies and billing regulations, identify process improvement opportunities, and support special projects as assigned.

Skills

Excel proficiency

Billing

Data entry

Attention to detail

Independent work

Communication

Organizational skills

Education

High school diploma

Associate degree preferred

Tools

Billing software

EDI clearinghouses

Payer portals

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 Billing Specialist will oversee the billing process for customers and patients. They will coordinate and execute processes of front-end medical billing of commercial insurance and government program claims for all Cardiology devices. This consists of: Ensure all posting of charges are accurate, submit and re-submit billing data to the appropriate insurance providers, process claims, resolve denial instances, and achieve maximum reimbursement for services provided across all lines of business (Commercial/Medicare/Medicaid, etc). The position is responsible for ensuring the efficiency of billing operations by following federal and state billing regulations.

What you'll be doing:

• Review patient accounts, supporting documentation, and charges for completeness, accuracy, and compliance with billing guidelines.
• Conduct quality audits of patient files to ensure claims are billed correctly and meet payer rules and regulations.
• Generate and validate commercial and government insurance claims prior to submission.
• Submit claims through EDI clearinghouses, process paper claims as needed, and manage supporting documentation.
• Monitor and resolve unbillable revenue, claim rejections, unbilled claims, and other billing exceptions within required timeframes.
• Follow up with insurance carriers regarding claim status, payment discrepancies, and outstanding issues.
• Apply working knowledge of CPT and ICD-10 coding to ensure accurate documentation, billing, and claim processing.
• Maintain current knowledge of reimbursement policies and billing regulations, identify process improvement opportunities, and support special projects as assigned.

What you'll bring:

• High school diploma or equivalent required, Associate 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 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 transparent with our pay practices. The estimated base salary for this position is $44,800 to $61,600 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 upon location, skills and expertise, experience, and other relevant factors.

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.

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.

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 let us know the nature of your request along with your contact information.

20465 State HWY 249|Houston, TX 77070|United States of America