Patient Account Specialist
Baxter International Inc.
Summary
As the Patient Account Specialist, 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 investigate inquiries to determine an appropriate course of action to solve, triage or escalate the inquiry, conducting thorough patient account reviews and performing necessary tasks to ensure timely and effective first-time resolution.
Job description
Your role at Baxter
As the Patient Account Specialist, 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 investigate inquiries to determine an appropriate course of action to solve, triage or escalate the inquiry, conducting thorough patient account reviews and performing necessary tasks to ensure timely and effective first-time resolution.
What you'll be doing
- 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 to promptly investigate and identify root cause while providing accurate first-time resolution aligned with AR Days KPIs
- Review patient accounts quickly and accurately assessing and identifying customer needs to determine appropriate course of action
- Ensure accuracy of patient information on file to establish timely and accurate claims processing, promptly identifying and solving 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
What you'll bring
- 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
- Cardiology related experience, a plus
- Knowledge of Federal, State, and Local regulations, guidelines, and standards, including 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
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 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
- Ability to handle time and prioritize critical priorities
Benefits
- Medical, Dental & Vision
- Life & Accident Insurance
- Short & Long-Term Disability
- Employee Stock Purchase Plan
- 401(k) Matching
- Flexible Spending Accounts
- Educational Assistance
- Paid Holidays
- Paid Time Off
- Paid Parental Leave
- Commuting Benefits
- Employee Discount Program
- Employee Assistance Program
- Childcare Benefits
Company overview
Baxter International Inc. is an American multinational healthcare company headquartered in Deerfield, Illinois, founded in 1931. As a leading global medical device manufacturer, Baxter specializes in developing and producing essential medical products for treating chronic and acute medical conditions. The company operates across three primary business segments: Medical Products and Therapies, Healthcare Systems and Technologies, and Pharmaceuticals. Baxter's extensive product portfolio includes intravenous (IV) solutions, infusion pumps, dialysis equipment for kidney disease treatment, surgical technologies, and hospital pharmaceuticals. With approximately 38,000 employees worldwide and annual revenues exceeding $10 billion, Baxter plays a critical role in global healthcare infrastructure. The company is particularly known for its leadership in IV fluid production, manufacturing approximately 60% of the intravenous fluids used in the United States. Baxter's innovations include pioneering developments in artificial kidney technology and advanced surgical products, serving healthcare providers across more than 100 countries. The company maintains a strong commitment to research and development, investing significantly in medical technology advancements that improve patient outcomes and healthcare delivery efficiency.