Spec, Patient Account at Baxter International

Houston, Texas, United States

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Not SpecifiedCompensation

Junior (1 to 2 years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, Digital Health, Medical DevicesIndustries

Requirements

High school diploma or equivalent
2+ years of healthcare related experience in revenue cycle, with focus around eligibility and benefit verification, authorizations, claims submission and denial management
Cardiology related experience, a plus
Knowledge of Federal, State, and Local regulations, guidelines, and standards, including knowledge of HIPAA rules and regulations
CPT® and ICD-10 coding experience
Third-party payer experience
Experience with medical record reviews to identify and ensure medical necessity
Proficiency in Microsoft Office Software
Strong critical thinking and effective problem-solving skills
Exceptional written, verbal, and interpersonal communications
The ability to handle time and prioritize

Responsibilities

Assist with Inquiry Management through phone, email, and online interactions with patients, healthcare teams, sales, and several internal teams
Investigate inquiries to determine an appropriate course of action to solve, triage or escalate the inquiry, including research utilizing publicly available and company provided resources and systems, conducting thorough patient account review(s), and performing necessary tasks or actions ensuring a timely and effective first-time resolution
Quickly build rapport over the phone while exuding a positive upbeat demeanor
Investigate and validate payer coverage policies and requirements as needed
Provide timely and accurate resolution of requests or complaints received, utilizing multiple platforms and systems efficiently to allow prompt investigation and identification of the root cause, while providing accurate first-time resolution in alignment with AR Days as denied by Departmental KPIs
Review patient accounts quickly and accurately assessing and identifying customer needs to determine appropriate course of action as defined by Baxter policies and guidelines
Ensure accuracy of patient information on file to establish timely and accurate claims processing, promptly identifying and solving all claim errors that result in delayed adjudication
Identify payer trends and establish payer-specific strategies to overcome reimbursement challenges
Establish and maintain positive partnerships with sales, and other internal and external Cardiology Healthcare teams

Skills

Patient Account Management

Inquiry Management

Customer Service

Phone Support

Email Support

Research

Triage

Escalation

Account Review

Healthcare Systems

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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