Account Receivable Specialist

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.

Your Role at Baxter:

Perform collections activities on outstanding accounts receivable for assigned Commercial, Medicare and/or Medicaid payers. Specific tasks include resolving insurance carrier denials, responding to account executive correspondence and/or inquiries, appealing claims, contacting carriers on open accounts, and responding to patient and insurance carrier correspondence and/or inquiries.

What You'll Do:

• Perform collections activities on all outstanding claims for assigned payers.
• Demonstrate a clear understanding of compliance policies for Baxter, including commercial and government payers.
• Understanding of payer types (Commercial, MCR/MCD, Replacement Plans, etc.).
• Research and reconcile credit balances on accounts
• Process corrected claims and/or rebills to assigned payers as needed
• Recommend accounts for contractual or administrative write-off and provide appropriate justification and documentation
• Document and follow up on explanations of benefits (EOBs)
• Identify and articulate trending payer issues and notify appropriate leaders in a timely manner
• Identify and work all denials received from assigned payers within specified time limit.
• Timely follow-up on denials and appeals, including root cause analysis to reduce/prevent future denials while working to overturn denials for payment resolution.
• Understand and consistently contribute to team goals, as well as how they support greater organizational goals
• Ability to meet or exceed performance goals
• Provide quality customer service, with the ability to speak knowledgably to payers, patients, and other stakeholders
• Demonstrate a working knowledge of the revenue cycle process and how this role affects the team
• Ability to verify benefits and understand and explain coverage criteria
• Understand and follow department policies, procedures, work instructions, job aids, and standard work requirements
• Maintain regular, positive communication with colleagues, business partners, and stakeholders
• Provide workload coverage, when needed
• Other duties as assigned

What You'll Bring:

• High school diploma or equivalent required, AA or BA/BS degree preferred.
• Three or more years of progressive work experience in revenue cycle and healthcare billing.
• 3 years minimum previous experience Medical Billing/Collecting, Accounts Payable and Receivable
• Exceptional written, verbal, and interpersonal communications skills
• Detail oriented, good organizational skills, and ability to be self-directed.
• Practice HIPAA privacy standards and ensure compliance with patient health information privacy practices.
• Ability to perform mathematical calculations.
• Excellent communication skills when dealing with Account executives, patients, families, co-workers, and professional offices.
• Excellent knowledge of medical terminology and billing practices, including interpretation of EOB’s
• Extensive experience and knowledge of PC applications, including Microsoft Office.
• Knowledge of insurance/benefit coverage required Ability to develop and maintain positive working relationships
• Billing database software experience preferred

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. This policy provides the benefits of connecting and collaborating in-person in support of our Mission.

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.

US Benefits at Baxter (except for Puerto Rico)