Accounts Receivable Specialist II

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Savista

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1994

💼 Consulting

📦 Logistics

🏥 Healthcare

Consulting • Logistics • Healthcare

Savista is a full-service revenue cycle management provider with over 30 years of experience in the healthcare industry. They support healthcare organizations in improving financial outcomes by offering services such as AR management, denial management, clinical documentation integrity, eligibility & enrollment, and HIM outsourcing. Savista works as an extension of healthcare teams to optimize processes and increase efficiency to ensure compliance and drive patient-centered service quality. The company has garnered recognition and industry accolades for its effective and quality solutions.

📋 Description

• Verify or obtain patient eligibility and authorization for healthcare services. • Update patient demographics and insurance information in appropriate systems. • Research and status unpaid or denied claims. • Monitor claims for missing information, authorization, and control numbers. • Research EOBs for payments or adjustments to resolve claims. • Contact payers by phone or written correspondence to secure claim payments. • Access client systems for payment, open-claim, and other resolution information. • Follow prioritization, timely filing, and notation protocols. • Secure medical documentation requested by third-party insurance carriers. • Research provider billing manuals for billing guidelines and requirements. • Write appeal letters for technical appeals. • Verify underpayments by researching contracts and claims data. • Prepare denied claims for clinical audit processing. • Support Savista's Compliance Program and adhere to HIPAA, FDCPA, FCRA, and other applicable laws. • Meet productivity requirements of 55 claims per date/275 claims per week.

🎯 Requirements

• High school diploma or GED. • At least three years of experience in healthcare insurance accounts receivable follow-up. • Experience working with or for a hospital or hospital system. • Experience working directly with government or commercial insurance payers. • Experience identifying billing errors, resubmitting claims, and following up on payment errors, low reimbursement, and denials. • Experience reviewing EOB and 1500 forms for accounts receivable activities. • Knowledge of accounts receivable practices, medical business office procedures, coordination of benefit rules, denial overturns, and third-party payer billing and reimbursement procedures. • At least three years of experience with accounts receivable software. • Experience navigating payer sites for appeals/reconsiderations, benefits verification, and online claims follow-up with Medicare and Medicaid insurance background. • Demonstrated ability to navigate Internet Explorer and Microsoft Office, input and sort data in Microsoft Excel, and use company email and calendar tools. • Demonstrated experience communicating effectively with payers, understanding complex information, and accurately documenting encounters. • Ability to work effectively with cross-functional teams. • Demonstrated ability to meet performance objectives. • Experience with Epic required. • Experience with both hospital (facility) and physician (pro-fee) accounts receivable preferred.

🏖️ Benefits

• Certified Great Place to Work 4 years in a row • Remote work arrangement