Spec, Credit

Baxter International Inc. • Saint Paul, MN

12d • Hybrid

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 The Respiratory Health Credit Specialist is responsible for resolving credit balances for assigned Third-Party payers and patients in compliance with existing payer contracts and internal policies.

Requirements

• AA or BA/BS degree preferred.
• 2+ years of medical collections and/or billing required.
• DME supplier experience preferred with knowledge and understanding of third-party payer requirements.
• Basic understanding of other revenue cycle functions including billing, cash, and collections.
• Proficiency with Microsoft Office required.
• Customer service oriented, with the ability to speak knowledgably to payers, patients, and other stakeholders.

Nice To Haves

• DME supplier experience preferred with knowledge and understanding of third-party payer requirements.

Responsibilities

• Research and resolve credit balances on claims for assigned third-party payers and patients in a timely manner and in accordance with third-party payer requirements and Baxter policies and job aids.
• Resolve credit balances with payers by appealing claims, submitting corrected claims, requesting reprocessing of claims, or issuing refund payment on claims.
• Resolve claim balances resulting from payer recoupments (payment takebacks) and process payment moves to balance takebacks and payments.
• Document and follow up on explanations of benefits (EOBs) from payers.
• Identify and articulate trending payer issues and notify appropriate leaders in a timely manner.
• Verify insurance benefits and understand coverage criteria.
• Demonstrate a clear understanding of the upstream and downstream processes that affect the team.
• Act as a resource and subject matter expert to Accounts Receivable Specialists, Patient Accounts Receivable Specialists, Billing Specialists, and Cash Applications Specialists; provide input to department and cross-functional meetings.

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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree
• Number of Employees: 5,001-10,000 employees