Documentation Specialist

Baxter International Inc. • St. Paul, MN

9d • Hybrid

About The Position

This is where your work makes a difference. At Baxter, we believe every person—regardless of who they are or where they are from—deserves a chance to live a healthy life. It was our founding belief in 1931 and continues to be our guiding principle. We are redefining healthcare delivery to make a greater impact today, tomorrow, and beyond. Our Baxter colleagues are united by our Mission to Save and Sustain Lives. Together, our community is driven by a culture of courage, trust, and collaboration. Every individual is empowered to take ownership and make a meaningful impact. We strive for efficient and effective operations, and we hold each other accountable for delivering exceptional results. Here, you will find more than just a job—you will find purpose and pride. Your role at Baxter This position is responsible for requesting/managing supporting documentation and information required for claims submission and reimbursement for Medicare and other federal insurance. This role regularly interacts with patients, prescribers and their healthcare teams and will be required to build and maintain a professional relationship with these key customers. The Documentation Specialist plays a vital role in ensuring all payer rules and requirements are met and uphold Hillrom Respiratory Health high standard for Compliance.

Requirements

• High School diploma, required associates degree or higher degree, preferred.
• Experience working in an office environment, preferred.
• Knowledge of medical terminology, helpful, Medicare experience strongly preferred.
• 1+ years industry experience (3rd party payers or DME provider experience), preferred.
• Strong critical thinking and problem- solving skills.
• Exceptional written, verbal, and interpersonal communications.
• Proficient with Microsoft Office Software including Word and Outlook.

Responsibilities

• Documentation of Medical Necessity and Analyze documentation received to ensure medical requests are fulfilled.
• Manage retrieval of medically necessary documentation including updated prescriptions, statements of medical necessity, medical records information, and other diagnostic reports from healthcare customers.
• Resolve issues with any outstanding documentation requests defined as overdue.
• Solicit assistance of relevant stakeholders to initiate action plans necessary for retrieval.
• Review pertinent reports available to assist with management of administrative items and utilize for prioritization of workload.
• Educate healthcare accounts about documentation requests and the corresponding processes and regulations required by Medicare and other payers.
• Assist with new employees and provide refresher training as needed and communicate regularly with assigned field team regarding customer concerns or other escalated issues.
• Maintain and sustain department service level agreements as well as ensuring compliance with all payer rules and requirements.
• Verify eligibility and benefits of plan coverage and process for payer, as necessary and discuss Medicare or other relevant payer policies and limitations with Health Care Team.

Benefits

• Baxter offers comprehensive compensation and benefits packages for eligible roles.
• Our health and well-being benefits include medical and dental coverage that start on day one, as well as insurance coverage for basic life, accident, short-term and long-term disability, and business travel accident insurance.
• Financial and retirement benefits include the Employee Stock Purchase Plan (ESPP), with the ability to purchase company stock at a discount, and the 401(k) Retirement Savings Plan (RSP), with options for employee contributions and company matching.
• We also offer Flexible Spending Accounts, educational assistance programs, and time-off benefits such as paid holidays, paid time off ranging from 20 to 35 days based on length of service, family and medical leaves of absence, and paid parental leave.
• Additional benefits include commuting benefits, the Employee Discount Program, the Employee Assistance Program (EAP), and childcare benefits.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED