Billing Specialist

About the role

At Baxter, we believe every person deserves a chance to live a healthy life. The Billing Specialist will oversee the billing process for customers and patients, coordinating and executing front-end medical billing of commercial insurance and government program claims for all Cardiology devices. This role ensures efficient billing operations by following federal and state billing regulations.

Responsibilities

• Review supporting documentation and posted charges for completeness and accuracy; identify and correct missing or inaccurate information.
• Complete quality reviews of patient files to ensure claims comply with each payer’s rules and regulations.
• Generate commercial insurance and government program claims in the system and review for accuracy; conduct regular audits.
• Perform follow-up functions for timely processing of claims, including EDI submission via clearinghouse, printing, sorting attachments, and mailing when applicable.
• Assist with managing unbillable revenue, clearinghouse rejected claims, and other reports daily; provide updates to management as needed.
• Maintain current knowledge of billing regulations, insurance-specific policies, and company procedures.
• Identify areas for improved documentation or efficiency and communicate opportunities to the Revenue Cycle Supervisor.
• Follow up on unbilled claims within required billing time frames.
• Resolve discrepancies with insurance companies regarding payments.
• Apply working knowledge of CPT and ICD-10 codes; ensure proper documentation of ICD-10 diagnoses.
• Perform quality reviews of patient and insurance accounts for follow-up as needed.
• Perform other projects and duties as assigned.

Requirements

• 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.
• Knowledge of the insurance industry and third-party payer processes.
• Proven data entry skills with strong attention to detail and accuracy.
• Ability to organize, prioritize, and manage workload independently.
• Strong written, verbal, and interpersonal communication skills.
• Proficiency in Excel.

Applicants must be authorized to work for any employer in the U.S. Baxter is unable to sponsor or take over sponsorship of an employment visa at this time.

Schedule

This role follows a flexible workplace policy, requiring a minimum of 3 days a week onsite to support collaboration and connection.

Pay

The estimated base salary for this position is $44,800 to $61,600 annually. Individual pay is based on location, skills, expertise, experience, and other relevant factors.

Benefits

• Comprehensive health and well-being benefits, including medical and dental coverage starting on day one.
• Insurance coverage for basic life, accident, short-term and long-term disability, and business travel accident.
• Financial and retirement benefits, including the Employee Stock Purchase Plan (ESPP) with a company stock discount and the 401(k) Retirement Savings Plan with company matching.
• Flexible Spending Accounts (FSAs).
• Educational assistance programs.
• Paid time off ranging from 20 to 35 days based on length of service, paid holidays, family and medical leaves of absence, and paid parental leave.
• Additional benefits such as commuting benefits, Employee Discount Program, Employee Assistance Program (EAP), and childcare benefits.