Revenue & Reimbursement Specialist

Baxter Health; Mountain Home (AR); On-site; USD 55,000 - 75,000; Full time

Job summary

Baxter Health is seeking a Revenue & Reimbursement Specialist to ensure accurate billing, payer compliance, and revenue collection across the organization.

You will bridge clinical documentation with billing processes, identify discrepancies, and help prevent revenue leakage to ensure timely reimbursement for services rendered.

Qualifications

• High School Diploma or equivalent required.
• Strong understanding of the revenue cycle process from start to resolution.
• Experience with hospital and professional billing systems and processes.
• Excellent written communication for emails, appeals, letters and procedures.
• Advanced skills in Excel and Word for reporting.

Responsibilities

• Ensure accurate billing and payer compliance across the organization.
• Serve as bridge between clinical documentation, billing accuracy and revenue collection.
• Identify discrepancies, prevent revenue leakage and ensure timely reimbursement.

Skills

Revenue cycle knowledge

Hospital & professional billing

Writing & documentation

Excel & Word proficiency

ECW experience

Typing 45+ wpm

Confidentiality & HIPAA

Communication skills

Independent work

Working under pressure

Education

High School Diploma or equivalent

Tools

ECW

Microsoft Excel

Microsoft Word

Job description

Full time , Days

SUMMARY:

A Revenue & Reimbursement Specialist is a healthcare professional responsible for ensuring accurate billing, payer compliance, and proper revenue collection across the organization. They serve as a critical bridge between clinical documentation, billing accuracy, and financial success in the healthcare industry. They identify discrepancies, prevent revenue leakage, and ensure that the organization is reimbursed appropriately and timely for services rendered.

BAXTER HEALTH COMPLIANCE RESPONSIBILITIES

Understands and adheres to Baxter Health standards as they appear in Healthstream Policy Manager.

Required to work with the Physician Enterprise Revenue Cycle Director regularly to carryout, initiate and/or implement best practices for the Baxter Health Physician Enterprise Revenue Cycle Department.

JOB REQUIREMENTS

Education: High School Diploma or equivalent.

Experience:

• Strong understanding of the revenue cycle process, from patient initial contact through resolution, fully understanding the life cycle of an account.
• Strong background in both hospital and professional billing systems/processes.
• Strong writing skills for email, writing appeals, letters, procedures and process documents.
• Advanced level expertise with Excel/Word to document and report to the appropriate personnel.
• Experience with ECW preferred.

Knowledge, Skills and Abilities:

• Must be able to type 45+ WPM.
• Must possess excellent and accurate 10 key and computer skills, including the ability to use email systems and working knowledge of Microsoft Excel and Word.
• Strong communication skills to be able to communicate effectively with all levels of the organization, able Must have excellent analytical and problem-solving skills.
• Ability to work easily and cooperatively with other departments, clinics, payors and vendors.
• Ability to work independently and follow through on tasks without direct supervision.
• Ability to work well under pressure in a flexible, diplomatic and expeditious manner.
• Must maintain strict confidentiality of patients’ medical records and adherence to all HIPPA and 42 CFR Part 2 policies and regulations.
• Provide guidance to other revenue cycle staff.
• to develop relationships and contacts to support job functions.
• Ability to manage and follow through on a large, fast paced workload with various deadlines
• Able to work in a constantly changing environment, good judgment skills, and capable of making decision with attention to detail.
• Must be extremely accurate with attention to details, policies and procedures.