Revenue & Reimbursement Specialist

Revenue & Reimbursement Specialist SUMMARY:

A Revenue & Reimbursement Specialist is a healthcare professional responsible for ensuring accurate billing, payer compliance, and proper revenue collection across the organization. They serve as a critical bridge between clinical documentation, billing accuracy, and financial success in the healthcare industry. They identify discrepancies, prevent revenue leakage, and ensure that the organization is reimbursed appropriately and timely for services rendered.

BAXTER HEALTH COMPLIANCE RESPONSIBILITIES

Understands and adheres to Baxter Health standards as they appear in Healthstream Policy Manager. Required to work with the Physician Enterprise Revenue Cycle Director regularly to carryout, initiate and/or implement best practices for the Baxter Health Physician Enterprise Revenue Cycle Department.

JOB REQUIREMENTS

Education:

High School Diploma or equivalent.

Experience:

Strong understanding of the revenue cycle process, from patient initial contact through resolution, fully understanding the life cycle of an account. Strong background in both hospital and professional billing systems/processes. Strong writing skills for email, writing appeals, letters, procedures and process documents. Advanced level expertise with Excel/Word to document and report to the appropriate personnel. Experience with ECW preferred.

Knowledge, Skills and Abilities:

Must be able to type 45+ WPM. Must possess excellent and accurate 10 key and computer skills, including the ability to use email systems and working knowledge of Microsoft Excel and Word. Strong communication skills to be able to communicate effectively with all levels of the organization, able Must have excellent analytical and problem-solving skills. Ability to work easily and cooperatively with other departments, clinics, payors and vendors. Ability to work independently and follow through on tasks without direct supervision. Ability to work well under pressure in a flexible, diplomatic and expeditious manner. Must maintain strict confidentiality of patients medical records and adherence to all HIPPA and 42 CFR Part 2 policies and regulations. Provide guidance to other revenue cycle staff. to develop relationships and contacts to support job functions. Ability to manage and follow through on a large, fast paced workload with various deadlines Able to work in a constantly changing environment, good judgment skills, and capable of making decision with attention to detail. Must be extremely accurate with attention to details, policies and procedures.

Primary Source Verification:

Original Transcripts Safety Sensitive Designation:

No