Insurance Verification Specialist

About the role

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.

What You'll be Doing

• Develop a flawless strategy to reintegrate patient accounts into the reimbursement process, either through acquiring prior authorization, performing change of insurance, or securing payment on claims.
• Perform detailed research on patient accounts within our "Error processing" process to identify gaps hindering reimbursement and offer a comprehensive summary for resolution.
• Apply outstanding investigational tools to find patient contact information, including classified and confidential databases.
• Ensure the accuracy of patient demographics and benefit information on file to minimize claim submission errors.
• Process claims promptly, identifying and resolving issues causing delayed processing and adjudication.
• Identify payer trends and implement payer-specific strategies to overcome reimbursement challenges.
• Review revenue reports like "claim validation" and "return billing report" to ensure reimbursement procedures are followed.
• Contact patients, families, and caregivers as needed to acquire current demographics, insurance, physician, and device usage information to ensure appropriate insurance reimbursement.
• Ensure timely follow-up and completion of errors received and authorizations initiated.
• Foster and uphold favorable relationships with the sales team and other internal and external Cardiology Healthcare teams.
• Offer outstanding customer service through discussions on payer policies, coverage criteria, or relevant plan and product information with patients, sales team, and other internal and external Cardiology Healthcare teams.
• Actively seek additional experience and knowledge across all functional areas to gain expertise.
• Understand and adhere strictly to all policies for Baxter and third-party payers, ensuring the highest standards of quality and compliance.

What You'll Bring

• High school diploma or equivalent experience required, associate's degree or higher preferred.
• 2-3 years of healthcare-related experience in the revenue cycle process with a specialized focus on eligibility and benefit verification, and claims submission. Cardiology-related experience is a plus.
• Knowledge of Federal, State, and Local regulations, guidelines, and standards, including a working knowledge of HIPAA rules and regulations.
• Proven third-party payer experience is strongly preferred.
• Experience with medical record reviews to identify and ensure medical necessity.
• Outstanding written, verbal, and interpersonal communication skills.
• Excellent customer service skills with the ability to deescalate conflict effectively and quickly.
• Strong critical thinking and problem-solving abilities.
• Proficiency in Microsoft Office Software.

Additional information

Baxter is committed to supporting the needs for flexibility in the workplace. We do so through our flexible workplace policy which includes a required minimum number of days a week onsite. This policy provides the benefits of connecting and collaborating in-person in support of our Mission. The flexible workplace policy is subject to local laws and legal requirements. At its discretion, Baxter may decide to adjust, suspend, or discontinue as business needs change.

Pay and benefits

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 $43,200.00 - $64,800.00 annually. The estimated range is meant to reflect an anticipated salary range for the position.

We may pay more or less than 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. 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

Benefits

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