Spec, Front Office (Cash Applications)

Baxter•Chattanooga, TN

11h•$49,600 - $68,200

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 Front Office Specialist is responsible for a variety of administrative and reimbursement related task in addition to ensuring the state office is open during the posted business hours to comply with federal and state brick and mortar laws. The position will manage all external site audits in addition to cross-training to assist with other order entry and revenue cycle duties.

Requirements

High school diploma or equivalent required.
2+ years of experience in a business office environment required; associates degree or higher may substitute for 1 years of experience.

Nice To Haves

Experience working with high-dollar DME preferred.
Billing database software experience preferred.
Clearinghouse, payer portal, and explanation of benefits experience preferred.

Responsibilities

Ensure compliance with Federal Medicare, State Medicaid, and Third-Party requirements for in-state brick and mortar regulations.
Staff and maintain required brick and mortar location during the posted business hours, including answering of phone calls to site.
Organize and update state licensure information and other appropriate documentation to ensure it is in available upon audit of site.
Manage external audits from CHAP, Medicare, Medicaid, and licensing agencies.
Enter orders, provide confirmation notices, and follow-up with Healthcare Teams to obtain valid order requirements, as needed.
Cross-train to assist with various Revenue Cycle Management – Cash Application duties, including but not limited to:
Ensure timely and accurate posting of payments, denials, and related documentation on durable medical equipment claims, including but not limited to:
Interpret, post, and validate payments and denials from third-party payers and patients.
Perform transfers of co-insurance and deductible amounts, as needed.
Reconcile applied checks to deposited amounts and research variances.
Download and translate Electronic Remittance Advice (ERA) files from payers, resolve errors during translation process, link to claim lines.
Save original remittance images for payers as required.
Resolve unidentified payments on a routine basis with payer or other A/R team members.
Move payments as requested based on A/R team member research.
Adhere to month-end posting deadlines and be available for work on all banking days.
Link and route scanned documents to appropriate team members to connect payer correspondence to patient or payer accounts.

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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