This is where you save and sustain lives
At Baxter, we are deeply connected by our mission. No matter your role at Baxter, your work makes a positive impact on people around the world. You’ll feel a sense of purpose throughout the organization, as we know our work improves outcomes for millions of patients.
Baxter’s products and therapies are found in almost every hospital worldwide, in clinics and in the home. For over 85 years, we have pioneered significant medical innovations that transform healthcare.
Together, we create a place where we are happy, successful and inspire each other. This is where you can do your best work.
Join us at the intersection of saving and sustaining lives— where your purpose accelerates our mission.
Your Role at Baxter
THIS IS WHERE you build trust to achieve results
As the Revenue Cycle Management Supervisor for Baxter Respiratory Health team, you will be responsible for supervising employees in the Revenue Cycle Management function. Additionally, they will act as a resource for problem-solving individual accounts issues identified by staff.
What You'll Be Doing:
Directly supervise assigned staff, including on-going performance feedback. Apply corrective measures as appropriate to ensure standards are maintained and goals are achieved.
Provide work direction and content expertise to direct reports.
Supervise medical reimbursement including Clinical Review for coverage and Medicare Appeals.
Prepare and submit pre- and post-payment Audits to Medicare programs.
Evaluate and process daily adjustment requests as needed.
Assist staff in career development and training.
Provide training and mentorship to new team members.
Monitor workloads, including daily performance metrics, overdue activities and pending files.
Identify and resolve issues on complex patient files.
Prepare and submit persuasive appeal request to Medicare (determination, Reconsiderations and Administrative Law Judge (ALJ).
Collaborate with supervisory team to ensure consistency in communications and procedures across Payer, Customer, Operations, Revenue Cycle Management.
Identify and develop new processes and streamline existing workflows.
Maintain daily, positive communication with other departments.
Answer questions and aid new and existing team members.
Coordinate problematic accounts with management.
Coordinate teamwork and ensure quality objectives and work deadlines are being met.
Act as a liaison to other departments related to payer or patient-specific issues.
Maintain understanding of department policies and procedures.
Perform other duties and projects as assigned.
What You'll Bring:
Respiratory Therapist (RT), Licensed Practical Nurse (LPN), or Registered Nurse (RN) or Paralegal required.
3+ years’ experience in Medicare Audits, Medical Claims, Appeals or Third-Party Reimbursement.
1+ years leadership or supervisory experience.
Strong critical thinking and problem-solving skills.
Knowledge of the various contractors Medicare Fee for Service audits, preferred.
Knowledge of Medicare Regulations preferred.
Experience with Third Party Compliance preferred.
Experience with Durable Medical Equipment provider preferred.
Six Sigma Green Belt preferred.
Proficiency in Microsoft Office Software.
Exceptional written, verbal, interpersonal communications and presentation skills.
Detail orientation.
Ability to work independently, multi-task and manage workload.
Experience with TIMS and Waystar/ E-Solutions Clearinghouse preferred.
Baxter is committed to supporting the needs for flexibility in the workplace. We do so through our flexible workplace policy which includes a minimum of 3 days a week onsite. This policy provides the benefits of connecting and collaborating in-person in support of our Mission.
We understand compensation is an important factor as you consider the next step in your career. At Baxter, we are committed to equitable pay for all our employees, and we strive to be more transparent with our pay practices. To that end, this position has a base salary range of $68,000 to $93,500 plus an annual incentive bonus. The above range represents the expected base salary range for this position. The actual salary may vary based upon several factors including, but not limited to, relevant skills/experience, time in the role, business line, and geographic/office location.
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.
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Equal Employment Opportunity
Baxter is an equal opportunity employer. Baxter evaluates qualified applicants without regard to race, color, religion, gender, national origin, age, sexual orientation, gender identity or expression, protected veteran status, disability/handicap status or any other legally protected characteristic.
EEO is the Law
EEO is the law - Poster Supplement
Pay Transparency Policy
Reasonable Accommodations
Baxter is committed to working with and providing reasonable accommodations to individuals with disabilities globally. If, because of a medical condition or disability, you need a reasonable accommodation for any part of the application or interview process, please click on the link here and let us know the nature of your request along with your contact information.
Recruitment Fraud Notice
Baxter has discovered incidents of employment scams, where fraudulent parties pose as Baxter employees, recruiters, or other agents, and engage with online job seekers in an attempt to steal personal and/or financial information. To learn how you can protect yourself, review our Recruitment Fraud Notice.
