Spec, Patient Account

Baxter•Houston, TX

2d•Onsite

About The Position

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 THIS IS WHERE you build trust to achieve results… As the Patient Account Specialist for our Bardy Diagnostics division, you will be responsible for assisting with Inquiry Management through phone, email, and online interactions with patients, healthcare teams, sales, and several internal teams. You will be responsible for investigating inquiries to determine an appropriate course of action to solve, triage or escalate the inquiry in question. This includes research, utilizing publicly available and company provided resources and systems, conducting thorough patient account review(s), and performing the necessary tasks or actions ensuring a timely and effective first-time resolution. Your team Bardy Diagnostics, Inc. (“BardyDx”) is an innovator in digital health and remote patient monitoring, with a focus on providing the most diagnostically accurate and patient-friendly cardiac and vital signs patch monitors in the industry. We're a friendly, collaborative group of people who push each other to do better every day. We find outstanding strategies to close deals and expand our skills by challenging ourselves and others. Whether out in the field with a partner or solving challenges with your territory team, you always have camaraderie and support to help accomplish your goals.

Requirements

High school diploma or equivalent required.
2+ years of healthcare related experience in revenue cycle, with focus around eligibility and benefit verification, authorizations, claims submission and denial management.
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 critical priorities.

Nice To Haves

Cardiology related experience, a plus.

Responsibilities

Quickly build rapport over the phone while exuding a positive upbeat demeanor.
Investigate and validate payer coverage policies and requirements as needed.
Responsible for Inquiry Management providing timely and accurate resolution of requests or complaints received.
Utilization of multiple platforms and systems, in an efficient manner allowing prompt investigation and identification of the root cause of the issue, while providing accurate first-time resolution that is in alignment with our 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.

Benefits

Baxter offers comprehensive compensation and benefits packages for eligible roles.
Our health and well-being benefits include medical and dental coverage that start on day one, as well as insurance coverage for basic life, accident, short-term and long-term disability, and business travel accident insurance.
Financial and retirement benefits include the Employee Stock Purchase Plan (ESPP), with the ability to purchase company stock at a discount, and the 401(k) Retirement Savings Plan (RSP), with options for employee contributions and company matching.
We also offer Flexible Spending Accounts, educational assistance programs, and 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.
Additional benefits include commuting benefits, the Employee Discount Program, the Employee Assistance Program (EAP), and childcare benefits.

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