Claims & Appeals Specialist

• Perform collections activities on all outstanding claims for assigned payers
• Enter and work all denials received from assigned payers within specified timeframe
• Demonstrate a basic understanding of compliance policies for Baxter, including commercial and government payers
• Create, submit, and follow through on appeals for assigned payers
• Research and reconcile credit balances on accounts
• Process corrected claims and/or rebills to assigned payers as needed and adjustments following the established policy and procedures
• Document and follow up on explanations of benefits (EOBs)
• Identify and articulate trending payer issues and notify appropriate leaders in a timely manner
• Provide quality customer service, with the ability to speak knowledgably to payers, patients, and other collaborator and be able to verify benefits and understand coverage criteria

• High school diploma or equivalent experience required
• 1+ years of medical collections and/or billing

AA or BA/BS degree preferred

• 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)
• 401(k) Retirement Savings Plan (RSP)
• 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