Spec, Documentation at Baxter International

St Paul, Minnesota, United States

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Not SpecifiedCompensation

Junior (1 to 2 years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, Medical DevicesIndustries

Requirements

High School diploma, required
Associates degree or higher degree, preferred
Experience working in an office environment, preferred
Knowledge of medical terminology, helpful
1+ years industry experience (3rd party payers or DME provider experience), preferred
Medicare experience strongly preferred
Strong critical thinking and problem-solving skills
Exceptional written, verbal, and interpersonal communications
Excellent attention to detail
Ability to work independently and manage moderate to heavy workload
Proficient with Microsoft Office Software including Word and Outlook

Responsibilities

Manage retrieval of medically necessary documentation including updated prescriptions, statements of medical necessity, medical records information, and other diagnostic reports from healthcare customers
Analyze documentation received to ensure medical requests are fulfilled
Resolve issues with any outstanding documentation requests defined as overdue; solicit assistance of relevant stakeholders to initiate action plans necessary for retrieval
Review pertinent reports available to assist with management of administrative items and utilize for prioritization of workload
Educate healthcare accounts about documentation requests and the corresponding processes and regulations required by Medicare and other payers
Educate healthcare customers and employees on payer specific criteria
Assist with new employees and provide refresher training as needed
Participate in regional conference calls and regional meetings, as assigned
Communicate regularly with assigned field team regarding customer concerns or other escalated issues
Maintain and sustain department service level agreements
Identify payer issues/trends and communicate payer updates to management as necessary
Ensure compliance with all payer rules and requirements
Develop and maintain relationships with internal and external stakeholders
Verify eligibility and benefits of plan coverage and process for payer, as necessary
Discuss Medicare or other relevant payer policies and limitations with Health Care Team

Skills

Medical Documentation

Claims Submission

Reimbursement

Medicare Compliance

Patient Interaction

Prescriber Relations

Medical Necessity

Prescriptions

Statements of Medical Necessity

Medical Records

Diagnostic Reports

Stakeholder Management

Compliance

Baxter International

Provides essential medical products and services

About Baxter International

Baxter International provides a wide range of medical products and services essential for healthcare. The company operates in several areas, including critical care, hospital care, nutritional care, renal care, and surgical care. Its products are used in various settings, from emergency rooms to home healthcare, helping to meet the needs of patients and healthcare professionals. Baxter develops, manufactures, and distributes medical devices, pharmaceuticals, and biotechnology products, generating revenue through sales to healthcare providers and institutions. A key aspect that sets Baxter apart from competitors is its recent acquisition of Hillrom, which enhances its ability to offer comprehensive healthcare solutions. The company's goal is to improve care outcomes and increase access to healthcare through continuous innovation and a focus on patient needs.

Deerfield, IllinoisHeadquarters

1931Year Founded

IPOCompany Stage

Biotechnology, HealthcareIndustries

10,001+Employees

Benefits

Health Insurance

Dental Insurance

Life Insurance

Disability Insurance

Health Savings Account/Flexible Spending Account

Unlimited Paid Time Off

Paid Vacation

Paid Parental Leave

401(k) Retirement Plan

401(k) Company Match

Employee Stock Purchase Plan

Commuter Benefits

Mental Health Support

Risks

Needle-free injection technology could disrupt Baxter's traditional injection-based therapies.

Shift to home healthcare may require Baxter to adapt its product offerings.

Growing digital health importance necessitates further investment from Baxter to stay competitive.

Differentiation

Baxter's acquisition of Hillrom enhances its comprehensive healthcare solutions portfolio.

Strong focus on patient-centric innovation sets Baxter apart in the healthcare industry.

Baxter's partnerships, like with Ayogo, leverage digital health for improved patient outcomes.

Upsides

Baxter's investment in Medically Home aligns with the growing home healthcare market.

Rising demand for personalized medicine offers Baxter opportunities for targeted therapies.

Expansion in telehealth supports Baxter's integrated healthcare solutions strategy.

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