Spec, Documentation

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.

What you’ll be doing

• Documentation of Medical Necessity
• Manage retrieval of medically necessary documentation including updated prescriptions, statements of medical necessity, medical records information, and other diagnostic reports from healthcare customers
• Analyze documentation received to ensure medical requests are fulfilled
• 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
• Educate healthcare customer and employees on payer specific criteria
• Assist with new employees and provide refresher training as needed
• Participate in regional conference calls and regional meetings, as assigned
• Communicate regularly with assigned field team regarding customer concerns or other escalated issues
• Maintain and sustain department service level agreements
• Research and Monitor Payer Requirements
• Identify payer issues/trends and communicate payer updates to management as necessary
• Ensure compliance with all payer rules and requirements
• Develop and maintain relationships with internal and external stakeholders
• Verification of Benefits
• Verify eligibility and benefits of plan coverage and process for payer, as necessary
• Discuss Medicare or other relevant payer policies and limitations with Health Care Team

What You’ll Bring

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

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 employees, and we strive to be more transparent with our pay practices. The estimated base salary for this position is $49,600 to $68,200 annually. The estimated range is meant to reflect an anticipated salary range for the position. We may pay more or less than of the anticipated range based upon market data and other factors, all of which are subject to change. Individual pay is based on upon location, skills and expertise, experience, and other relevant factors. For questions about this, our pay philosophy, and available benefits, please speak to the recruiter if you decide to apply and are selected for an interview.

US Benefits at Baxter (except for Puerto Rico)

This is where your well-being matters. 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. Join us and enjoy the competitive compensation and benefits we offer to our employees. For additional information regarding Baxter US Benefits, please speak with your recruiter or visit our Benefits site: Benefits | Baxter

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.

Know Your Rights: Workplace Discrimination is Illegal

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.