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 received payments, open claims, and related information • Follow prioritization guidelines, timely filing deadlines, 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

🎯 Requirements

• High school diploma or GED • At least two 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 UB-04 forms for accounts receivable activities • Knowledge of accounts receivable practices and medical business office procedures • Knowledge of coordination of benefit rules, denial overturns, and third-party payer billing and reimbursement procedures • At least two years of experience with accounts receivable software • Experience navigating payer sites for appeals/reconsiderations, benefits verification, and online claims follow-up • Ability to navigate Internet Explorer and Microsoft Office • Ability to input and sort data in Microsoft Excel • Ability to use company email and calendar tools • Demonstrated ability to communicate effectively with payers, understand complex information, and accurately document encounters • Ability to work effectively with cross-functional teams • Demonstrated ability to meet performance objectives • Productivity requirement of 45 claims per day/225 claims per week • Preferred: Experience with Epic, Meditech, Cerner, Invision, Paragon, Soarian, Collections Management, or STAR • Preferred: Experience with a hospital or hospital system with more than 150 beds • Preferred: Experience with both hospital facility and physician pro-fee accounts receivable

🏖️ Benefits

• Remote work arrangement • Certified Great Place to Work recognition • Training as required • Equal opportunity employment