Specialist, Credit

Baxter•Saint Paul, MN

5d•Hybrid

About The Position

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

2+ years of medical collections and/or billing required.
Basic understanding of other revenue cycle functions including billing, cash, and collections.
Ability to thrive in independent work environment with strong organizational abilities, and to prioritize workload with a strong sense of urgency.
Exceptional written, verbal, interpersonal communication, and presentation skills.
Proficiency with Microsoft Office required.
Customer service oriented, with the ability to speak knowledgably to payers, patients, and other stakeholders.
Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over sponsorship of an employment visa at this time.

Nice To Haves

AA or BA/BS degree preferred.
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

medical and dental coverage that start on day one
insurance coverage for basic life, accident, short-term and long-term disability, and business travel accident insurance
Employee Stock Purchase Plan (ESPP), with the ability to purchase company stock at a discount
401(k) Retirement Savings Plan (RSP), with options for employee contributions and company matching
Flexible Spending Accounts
educational assistance programs
paid holidays
paid time off ranging from 20 to 35 days based on length of service
family and medical leaves of absence
paid parental leave
commuting benefits
Employee Discount Program
Employee Assistance Program (EAP)
childcare benefits