Billing Specialist,

About the role

The Billing Specialist will oversee the billing process for customers and patients. They will coordinate and execute processes of front-end medical billing of commercial insurance and government program claims for all Cardiology devices.

What You'll Be Doing

• Review supporting documentation and posted charges for completeness and accuracy. Identify missing / inaccurate information and gather / correct, as necessary in accordance with billing guidelines.
• Complete quality review of patient files to ensure claims are billed accurately and comply with each payer's rules and regulations.
• Generate commercial insurance and government program claims in system and review for accuracy. Conduct audits regularly.
• Perform necessary follow-up functions for timely processing of claims, including, EDI submission via clearinghouse, printing of claims, sorting attachments and mailing when applicable.
• Assist with managing unbillable revenue, clearinghouse rejected claims, and other reports daily, and provide updates to management as needed.
• Reference reimbursement policies/procedures assigned to this role and maintain current knowledge with changes in billing regulations, insurance specific policies, as well as company policy and procedures.
• Identify any areas of opportunity for improved documentation or efficiency in daily work and communicate back to Revenue Cycle Supervisor.
• Follow-up on unbilled claims within the required billing time frames.
• Follow-up with any insurance companies regarding any discrepancies to payments.
• Working knowledge of CPT and ICD-10 codes.
• Quality review of patient and insurance accounts for follow-up as needed to ensure ICD-10 diagnosis is properly documented.
• Perform other project and duties as assigned.

What You'll Bring

• High school diploma or equivalent required, Associate degree or higher preferred.
• 3+ years of experience in a medical related business environment required.
• Billing database software experience required.
• Clearinghouse and payer portal experience preferred.
• Knowledge of insurance industry and third-party payer processes.
• Proven data entry skills required.
• Ability to organize and prioritize workload.
• Strong attention to detail and accuracy.
• Ability to work independently and manage workload.
• Strong written, verbal, and interpersonal communications.
• Must be proficient in Excel.

Pay

The estimated base salary for this position is $44,800 to $61,600 annually.

Schedule

Baxter is committed to supporting the needs for flexibility in the workplace. We do so through our flexible workplace policy which includes a minimum of 3 days a week onsite.

Benefits

• Medical and dental coverage that start on day one.
• Insurance coverage for basic life, accident, short-term and long-term disability, and business travel accident insurance.
• Employee Stock Purchase Plan (ESPP), with the ability to purchase company stock at a discount.
• 401(k) Retirement Savings Plan (RSP), with options for employee contributions and company matching.
• Flexible Spending Accounts.
• Educational assistance programs.
• 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.
• Commuting benefits.
• Employee Discount Program.
• Employee Assistance Program (EAP).
• Childcare benefits.