Billing Specialist

ACCA Careers; Houston (TX); On-site; USD 45,000 - 62,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

ESPP

401(k) matching

Paid time off

Job summary

Baxter is seeking a Billing Specialist to oversee front-end medical billing for commercial insurance and government program claims for Cardiology devices. You will ensure charges are posted accurately, submit and resubmit data to insurers, and aim for maximum reimbursement while complying with federal and state regulations.

You will perform audits, manage claim follow-ups, and maintain knowledge of payer rules, CPT/ICD-10, and documentation standards, with a focus on accuracy and efficiency.

Qualifications

• High school diploma or equivalent required, Associate degree or higher preferred.
• 3+ years of experience in a medical related business environment.
• Billing database software experience required.
• Clearinghouse and payer portal experience preferred.

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 and discrepancies with payers.

Skills

Data entry

Attention to detail

Excel

Communication

Independent work

Organization

Education

High school diploma

Associate degree preferred

Tools

Billing database software

Clearinghouse

Payer portal

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 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 preferredKnowledge 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.