Reimbursement Supervisor

Posted 6 Days Ago
Be an Early Applicant
St. Paul, MN
64K-88K Annually
Mid level
Healthtech • Other
The Role
As a Reimbursement Supervisor at Baxter, you will supervise a reimbursement services team, lead and develop processes related to eligibility verification, documentation collection, prior authorizations, and payer negotiations. You will monitor team performance, ensure adherence to standards, motivate the team to meet revenue goals, and maintain effective communication within the team and across departments.
Summary Generated by Built In

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 a Reimbursement Supervisor, you will be responsible for supervising 10-14 direct reports in the reimbursement services department whose main functions include eligibility and benefit verification, documentation collection and review, prior authorization and reauthorization submissions, letter or agreement payment negotiations, and processing payer decisions for Baxter’s Respiratory Health home care portfolio. Additionally, you will oversee workload review and allocation, hiring, performance management, coaching and mentoring, meeting regularly with team to troubleshoot and develop new processes. Must be able to communicate, motivate, and lead change within their team.

What You'll Be Doing:

  • Collaborate with peer reimbursement services department supervisors to foster a unified and consistent approach for the entire team (30-38 team members).

  • Monitor and maintain team workflows, adherence to stand of work policies, and ensuring quality objectives, service level agreements, and work deadlines are being met.

  • Participate in creating, improving, and maintaining department processes and procedures.

  • Set goals for performance in ways that are consistent with the organization’s strategy and vision.

  • Motivate, lead, encourage, and inspire team to pivot and adapt to meet organizational monthly/quarterly/yearly revenue goals.

  • Evaluate team effectiveness and individual productivity measured against established performance standards.

  • Provide training and mentoring, answer questions, and provide support to all team members.

  • Assist staff in career development, and drive team to achieve common goals.

  • Support and ensure implementation of team decisions.

  • Maintain daily, positive communication within the team and across other departments.

  • Identify payer trends, establish strategies to overcome reimbursement challenges, and communicate payer updates to the leadership team.

  • Analyze payment history and trends to provide direction and coaching for team members to effectively negotiate payment rates with payers.

  • Provide superior customer experience by leveraging ability to discuss payer policies, coverage criteria, benefit limitation, potential cost, and 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 standard of quality and compliance.

  • Perform other duties and responsibilities as assigned.          

What You'll Bring:

  • Bachelor’s degree or higher preferred.

  • 3+ years of experience supporting durable medical equipment, medical documentation, prior authorization, third-party reimbursement functions within industry, preferred.

  • 2+ years of experience in leading people, projects or processes required.

  • Exceptional written, verbal, and interpersonal communication skills.

  • Detail oriented and ability to multi-task.

  • Strong critical thinking and problem-solving skills.

  • Possess ability to manage time and prioritize critical deadlines.

  • Proficiency in Microsoft Office Software.

  • Knowledge of federal, state, and local regulations, guidelines, and standards, including a working knowledge of HIPAA rules and regulations.

  • Experience with Power BI is a benefit.

Baxter is committed to supporting the needs for flexibility in the workplace. We do so through our flexible workplace policy which includes a required minimum number of days a week onsite. This policy provides the benefits of connecting and collaborating in-person in support of our Mission. The flexible workplace policy is subject to local laws and legal requirements. At its discretion, Baxter may decide to adjust, suspend, or discontinue as business needs change.

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 $64,000 to $88,000 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.

#LI-DF1

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.
                                                                                                                                                               
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.

Top Skills

MS Office
Power BI
The Company
HQ: Deerfield, IL
35,858 Employees
On-site Workplace
Year Founded: 1931

What We Do

Every day, millions of patients, caregivers and providers around the world rely on Baxter’s leading portfolio of diagnostic, critical care, nutrition, kidney care, hospital and surgical products and solutions. For 90 years, we’ve been making an impact at the critical intersection where innovations that save and sustain lives meet the healthcare providers who make it happen. With products, therapies and digital health solutions available in more than 100 countries, Baxter’s employees worldwide are now building upon the company’s rich heritage of medical breakthroughs to advance the next generation of transformative healthcare innovations.

We welcome Hillrom to Baxter, where we are uniting to advance patient care worldwide. We’re building on the strengths of two historically innovative and socially responsible companies that will better serve our patients, customers and communities.

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