Billing Specialist

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

Job summary

Baxter International Inc. in Houston, TX is seeking a Billing Specialist to oversee front-end medical billing for commercial insurance and government program claims across Cardiology devices.

You will review documentation, submit and re-submit claims, follow up on unbillable revenue, perform audits, and ensure compliance with federal and state billing regulations while maintaining accuracy and timeliness in a fast-paced Revenue Cycle team.

Qualifications

• High school diploma or equivalent; associate degree preferred.
• 3+ years in a medical-related business environment.
• Billing database software experience.
• Clearinghouse and payer portal experience preferred.
• Knowledge of insurance industry and third-party payer processes.
• Proven data entry skills.
• Strong attention to detail and accuracy.
• Proficient in Excel.

Responsibilities

• Review supporting documentation and posted charges for completeness and accuracy.
• Complete quality review of patient files to ensure claims are billed accurately and comply with payer rules.
• Generate commercial insurance and government program claims in system and review for accuracy.
• Conduct audits regularly.
• Follow up on unbilled claims within required time frames.
• Reference reimbursement policies and stay current with billing regulations.
• Identify opportunities for improved documentation or efficiency and communicate with supervisor.

Skills

Attention to detail

Excel proficiency

Verbal and written communication

Organizational skills

Independent worker

Data entry skills

Education

High school diploma or equivalent

Associate degree or higher

Tools

Billing database software

Clearinghouse experience

Payer portal experience

EDI submission via clearinghouse

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.

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 supporting documentation and posted charges for completeness and accuracy. Identify missing / inaccurate information and gather / correct, as necessary in accordance with billing guidelines.
• Complete quality review of patient files to ensure claims are billed accurately and comply with each payer's rules and regulations.
• Generate commercial insurance and government program claims in system and review for accuracy.
• Conduct audits regularly.
• Perform necessary follow-up functions for timely processing of claims, including, EDI submission via clearinghouse, printing of claims, sorting attachments and mailing when applicable.
• Assist with managing unbillable 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, as well as company policy and procedures.
• Identify any areas of opportunity for improved documentation or efficiency in daily work and communicate back to Revenue Cycle Supervisor.
• Follow-up on unbilled claims within the required billing time frames
• Follow-up with any insurance companies regarding any discrepancies to payments
• Working knowledge of CPT and ICD-10 codes
• Quality review of patient and insurance accounts for follow-up as needed to ensure ICD-10 diagnosis is properly documented.
• Perform other project and duties 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.

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 on 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.

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.

Know Your Rights: Workplace Discrimination is Illegal

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

Baxter has discovered incidents of employment scams, where fraudulent parties pose as Baxter employees, recruiters, or other agents, and engage with online job seekers in an attempt to steal personal and/or financial information. To learn how you can protect yourself, review our Recruitment Fraud Notice.