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Medical Records and Authorization Specialist

https://www.baxter.com/ Logo

Baxter

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Location:
United States , Houston

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Category:
Finance

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Contract Type:
Not provided

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Salary:

49600.00 - 53000.00 USD / Year
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Job Description:

As a member of the Baxter Finance team, you have the critical thinking and analytical mindset that allows you to translate data into meaningful, actionable insights that help teams learn and adapt along the way. We guide our internal partners to understand financial opportunities or realities that move Baxter forward and closer to our mission to save and sustain lives. While you often work independently with your cross-functional team, you always have the greater finance organization to lean on for support and career mentoring.

Job Responsibility:

  • Perform Medical Records and Authorization Specialist duties including documentation collection and review, prior authorization and reauthorization submissions
  • Communicate directly with client medical records depts, patients, healthcare teams, sales teams, and insurance companies
  • Collaborate cross-functionally with other Cardiology Health teams
  • Ensure coverage and payer requirements
  • Gather clinical documentation to support medical necessity for Cardiology devices
  • Process paper and electronic correspondence, including logging and distribution of payer and patient inquiries
  • Establish and maintain positive partnerships with sales team and healthcare teams
  • Review and assess clinical documentation to ensure all applicable coverage criteria requirements are met
  • Prepare and submit prior authorization initial and renewal requests to all insurance companies
  • Process authorization decisions from payers timely to streamline and drive revenue
  • Identify payer trends and establish payer-specific strategies to overcome reimbursement challenges
  • Provide superior customer experience by leveraging the ability to discuss payer policies, coverage criteria, or any pertinent product information with patients and healthcare teams
  • Understand and adhere to all policies for Baxter and 3rd party payers to ensure the highest standards of quality and compliance
  • Consistently contribute to team goals and understand how they support greater organizational goals
  • Actively seek additional experience and knowledge across all functional areas to gain expertise
  • Provide workload coverage as needed
  • Perform other duties and projects as assigned

Requirements:

  • High school diploma or equivalent required
  • Associates degree or higher preferred
  • 3+ years of industry experience in health insurance
  • Knowledge of Federal, State, and Local regulations, guidelines, and standards, including a working knowledge of HIPAA rules and regulations
  • Third party payer experience strongly preferred
  • Experience in reviewing medical records and obtaining third-party payer reimbursement
  • Exceptional written, verbal, and interpersonal communications
  • Strong critical thinking and problem-solving skills
  • Detail orientated and ability to multi-task
  • Ability to work independently as well as in a team environment
  • Possess the ability to manage time and prioritize critical priorities
  • Proficiency in Microsoft Office Software
What we offer:
  • Support for Parents
  • Continuing Education/ Professional Development
  • Employee Heath & Well-Being Benefits
  • Paid Time Off
  • 2 Days a Year to Volunteer
  • 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

Additional Information:

Job Posted:
February 19, 2026

Employment Type:
Fulltime
Work Type:
On-site work
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