Baxter International Inc. · 11 hours ago
Reimbursement Specialist
St Paul, Minnesota
Full-time
Hybrid
Mid Level
$50K/yr - $68K/yr
3+ years expBaxter International Inc. is dedicated to redefining healthcare delivery to enhance patient outcomes. The Reimbursement Specialist will handle duties related to eligibility verification, documentation collection, and communication with patients and insurance companies to ensure effective reimbursement processes.
BiotechnologyClinical TrialsHealth CareMedical
No H1B
Responsibilities
Perform verification of eligibility and benefits to determine coverage and payer requirements
Ensure all benefit information is loaded correctly to reduce rework and allow for clean claims
Gather clinical documentation to support medical necessity for Cardiology products
Assess clinical documentation to ensure all applicable prescription, face to face, and coverage criteria requirements are met
Prepare and submit prior authorization requests to insurance companies including commercial payers as well as government payers including Medicare and Medicaid
Process authorization decisions from payers timely to streamline and drive revenue
Negotiate payment rates for letter of agreement to ensure maximum collection potential
Provide a superior customer experience by leveraging ability to discuss payer policies, coverage criteria, benefit limitations, potential cost, 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
Qualification
Required
3+ years of industry experience, preferably in health insurance and/or durable medical equipment
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
Preferred
Third party payer experience strongly preferred
Experience with Total Information Management System (TIMS) a benefit
Benefits
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), with the ability to purchase company stock at a discount
401(k) Retirement Savings Plan (RSP), with options for employee contributions and company matching
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
Company
Baxter International Inc.
For nearly a century, we have delivered on our commitment to saving and sustaining the lives of patients, working alongside clinicians and providers around the world.
10001+ employees
Funding
Current Stage
Public CompanyTotal Funding
$2.28BKey Investors
German Federal Ministry of Education and Research
2025-12-08Post Ipo Debt· $600M
2021-04-21Grant· $1.81M
2019-05-15Post Ipo Debt· $1.68B
Leadership Team
Andrew Hider
President and Chief Executive Officer
Giuseppe Accogli
EVP & Chief Operating Officer
Recent News
HospitalManagement.net
2026-01-16
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