Healthcare Reimbursement & Payer Specialist

Baxter International Inc.; Saint Paul (MN); On-site; USD 42,000 - 57,000; Full time

Benefits offered by this job

Health insurance

Dental coverage

Disability insurance

401(k) Retirement Savings Plan

Job summary

Baxter International Inc. is seeking a Reimbursement Specialist to manage eligibility and benefit verification, prior authorizations, and payer communications. You will collaborate with respiratory health teams to optimize revenue and patient outcomes.

Ideal candidates have 3+ years in health insurance or DME, strong communication, and proficiency in Microsoft Office. Onsite work is required at least 3 days a week, with a comprehensive benefits package.

Qualifications

• 3+ years of industry experience in health insurance and/or durable medical equipment preferred.
• Exceptional written, verbal, and interpersonal communications.
• Strong critical thinking and problem-solving skills.
• Detail oriented and able to multi-task.
• Ability to work independently as well as in a team.

Responsibilities

• Verify eligibility and benefits to determine coverage and payer requirements.
• Ensure benefit information is loaded correctly to reduce rework.
• Gather clinical documentation to support medical necessity for Respiratory Health products.
• Assess documentation to meet prescription, face-to-face, and coverage criteria.
• Prepare and submit prior authorization requests to various payers including Medicare and Medicaid.

Skills

Payer experience

Communication skills

Attention to detail

Multitasking

Time management

Independent work

Tools

TIMS

Microsoft Office

Job description

Baxter International Inc. is seeking a Reimbursement Specialist to manage eligibility and benefit verification, prior authorizations, and payer communications. You will collaborate with respiratory health teams to optimize revenue and patient outcomes.

Ideal candidates have 3+ years in health insurance or DME, strong communication, and proficiency in Microsoft Office. Onsite work is required at least 3 days a week, with a comprehensive benefits package.