Accounts Receivable Specialist, Level 2

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $19 - $21 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

💰 Accounts Receivable

👻 Ghost score 0%

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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/or authorization for healthcare services by searching payer websites or client eligibility systems, or contacting insurance carriers or healthcare providers. • Update patient demographics and/or insurance information in appropriate systems. • Research and appropriately status unpaid or denied claims. • Monitor claims for missing information, authorization, and control numbers (ICN/DCN). • 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 other data needed to resolve claims. • Follow prioritization guidelines, timely filing deadlines, and notation protocols. • Secure medical documentation requested by third-party insurance carriers. • Obtain billing guidelines and requirements by researching provider billing manuals. • Write appeal letters for technical appeals. • Verify underpayments by researching contracts and claims data. • Prepare claims for clinical audit processing for authorization, coding, level-of-care, or length-of-stay denials. • Support Savista's Compliance Program by following HIPAA, FDCPA, FCRA, and other applicable laws and procedures, attending required training, reporting concerns or incidents, handling patient information in a HIPAA-compliant manner, and maintaining confidentiality.

🎯 Requirements

• High school diploma or GED. • At least three years of experience in healthcare insurance accounts receivable follow up, working with or for a hospital/hospital system, working directly with government or commercial insurance payers. • Experience identifying billing errors and resubmitting claims as well as following up on payment errors, low reimbursement and denials. • Experience reviewing EOB and 1500 forms to conduct A/R activities. • Knowledge of accounts receivable practices, medical business office procedures, coordination of benefit rules and denial overturns and third-party payer billing and reimbursement procedures and practices. • 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, including the ability to 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 the encounter. • Ability to work effectively with cross-functional teams to achieve goals. • Demonstrated ability to meet performance objectives. • Productivity requirements are 55 claims per date/275 claims per week. • Experience with Epic - Required. • Experience with both hospital (facility) and physician (pro-fee) A/R preferred.