Billing Specialist,
Baxter International Inc. · Houston, TX · Yesterday
Accounting$45k–$62k/yrFull-time
At Baxter we believe every person—regardless of who they are or where they are from—deserves a chance to live a healthy life. Our mission to “Save and Sustain Lives” drives a culture of courage, trust, and collaboration, where each individual is empowered to make a meaningful impact.
About the role
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.
Responsibilities
- Ensure all posting of charges are accurate, submit and re‑submit billing data to the appropriate insurance providers, process claims, resolve denial instances, and achieve maximum reimbursement for services provided across all lines of business (Commercial/Medicare/Medicaid, etc).
- Review patient accounts, supporting documentation, and charges for completeness, accuracy, and compliance with billing guidelines.
- Conduct quality audits of patient files to ensure claims are billed correctly and meet payer rules and regulations.
- Generate and validate commercial and government insurance claims prior to submission.
- Submit claims through EDI clearinghouses, process paper claims as needed, and manage supporting documentation.
- Monitor and resolve unbillable revenue, claim rejections, unbilled claims, and other billing exceptions within required timeframes.
- Follow up with insurance carriers regarding claim status, payment discrepancies, and outstanding issues.
- Apply working knowledge of CPT and ICD‑10 coding to ensure accurate documentation, billing, and claim processing.
- Maintain current knowledge of reimbursement policies and billing regulations, identify process improvement opportunities, and support special projects 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.
- Clearinghouse and payer portal experience preferred.
- Knowledge of insurance industry and third‑party payer processes.
- Proven data entry skills.
- Ability to organize and prioritize workload with strong attention to detail and accuracy.
- Ability to work independently and manage workload.
- Strong written, verbal, and interpersonal communication skills.
- Proficiency in Microsoft Excel.
Benefits
- Medical, dental, and vision coverage starting day one.
- Basic life, accident, short‑term and long‑term disability, and business travel accident insurance.
- Employee Stock Purchase Plan (ESPP) with discounted stock purchase.
- 401(k) Retirement Savings Plan with employee contributions and company matching.
- Flexible Spending Accounts.
- Educational assistance programs.
- Paid holidays and paid time off (20–35 days based on length of service).
- Family and medical leave of absence and paid parental leave.
- Commuting benefits, Employee Discount Program, Employee Assistance Program (EAP), and childcare benefits.
Pay
Estimated base salary $44,800 – $61,600 annually; actual pay may vary based on location, skills, experience, and other factors.
Schedule
Flexible workplace policy requiring a minimum of three days per week onsite.