Payer Reimbursement Specialist

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

Benefits offered by this job

Flexible workplace policy

Paid holidays

Paid time off

ESPP

Job summary

Baxter International in Saint Paul, MN is hiring a Reimbursement Specialist to manage eligibility verification, prior authorizations, and payer negotiations. You will collaborate with healthcare teams to optimize care outcomes and maximize reimbursement, with a minimum of three onsite days per week in a mission-driven, equitable workplace.

The role requires 3+ years in health insurance/durable medical equipment, strong communication, and proficiency in Microsoft Office.

Qualifications

• 3+ years of industry experience, preferably in health insurance and/or durable medical equipment.
• Third party payer experience strongly preferred.
• Exceptional written, verbal, and interpersonal communications.

Responsibilities

• Verify eligibility and benefits to determine coverage and payer requirements.
• Ensure benefit information is loaded correctly to reduce rework and enable clean claims.
• 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 commercial and government payers including Medicare and Medicaid.
• Process payer decisions timely to streamline revenue.

Skills

Payer experience

Customer communication

Detail orientation

Time management

Microsoft Office

TIMS knowledge

Tools

TIMS

Microsoft Office

Job description

Baxter International in Saint Paul, MN is hiring a Reimbursement Specialist to manage eligibility verification, prior authorizations, and payer negotiations. You will collaborate with healthcare teams to optimize care outcomes and maximize reimbursement, with a minimum of three onsite days per week in a mission-driven, equitable workplace.

The role requires 3+ years in health insurance/durable medical equipment, strong communication, and proficiency in Microsoft Office.