Senior Manager Revenue Cycle Management

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!

The Senior Manager Revenue Cycle Management is responsible for leading the Reimbursement Services and Clinical Appeal teams for the Respiratory Health home care portfolio.

This team is responsible for benefit verification, medical documentation collection and review, prior authorization and reauthorization submissions, authorization appeals, special orders handling, payer letter of agreement payment negotiations, and processing payer decisions.

What You’ll Be Doing :

Oversee a staff of 45+ including leaders (exempt) and individual contributors (non-exempt)

Establish and manage team to execute departmental standard operating procedures, standard of work, and service level agreements

Monitor daily, weekly, monthly, and quarterly KPI’s / metrics and productivity and adjust as necessary to meet business goals and objectives

Manage escalation process to identify trends and aid in driving resolution to process, team member, or payer challenges for escalated issues

Collaborate cross-functionally to lead denial management program to identify opportunities to improve payer outcomes and maximize reimbursement coverage for patients

Ensure team’s understanding and adherence to all polices for Baxter and third-party payers to achieve the highest standards of quality and compliance

Collaborate with cross-functional stakeholders including sales team and other internal teams to drive continuous improvement and meet business goals and objectives

Identify and implement technology enhancements to improve department efficiencies

Partner with Business Improvement to design, validate, and maintain metric and reporting tools and dashboards

Lead the team in a superior internal and external customer experience by leveraging ability to discuss payer policies, coverage criteria, benefit details, potential costs, or any other pertinent product information

Recruit, hire, and train staff including on-going performance evaluation, feedback, and accountability to established standards

Coach, mentor, and develop staff to develop and retain the highest level of talent

Maintain daily, positive communication with team members, sales organization, and other departments to foster a collaborative and inclusive culture

Actively seek additional industry experience and knowledge to stay up to date with the ever-evolving DME landscape to gain expertise

What You’ll Bring :

BS / BA degree, BS / BA degree required

5+ years of experience in Revenue Cycle Management, preferably with a DME supplier

3+ years of leadership / management experience required

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

Knowledge of Third-Party Payer rules and requirements

Basic understanding of other revenue cycle functions including coding, billing, and collections

Proficiency in Microsoft Office Software, Excel and Power BI preferred

Proficiency in Third-Party billing system, TIMS preferred

Exceptional written, verbal and interpersonal communication and presentation skills

Detail oriented

Proven change management and strong management skills

Strong organizational abilities

Collaboration skills working with a cross-functional team members

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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.