AR Refund Specialist

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Savista

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1994

⚕️ Healthcare Insurance

Healthcare Insurance

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

• Reviews refund/overpayment requests from insurance payers to determine if an overpayment has occurred. • Reviews and resolve credit balances through credit transfers, account corrections and refund request form completion for manual refund check requests. • Identifies root causes and trends contributing to patient and insurance credit balances and works collaboratively with all areas of the revenue cycle to improve efficiency and eliminate these issues. • Posts debits for approved refunds. • Researches returned checks and collaborates with A/P for reporting to unclaimed property. • Resolves Department credit balance inquiries for transfers and refund check requests. • Ability to work collaboratively and build positive business relationships with clinical areas and the payer community. • Understanding of electronic medical record / billing system Pricing Module and fee schedules. • Develops expertise with payer specialty-specific payment policies, by using the payer assigned websites. • Maintain and respect the confidentiality of patient information in accordance with insurance collection guidelines and corporate policy and procedure. • Perform other related duties as required.

🎯 Requirements

• Associate’s degree in accounting, business, finance or an equivalent combination of training and experience with revenue management in healthcare setting. • 1-3 years’ experience in health care/managed care environment, preferably in a large physician practice or a combination of experience and education. • 1 year of experience with complex refunds to insurance • Knowledgeable in physician reimbursement and managed care claim payment issues. • Excellent communication skills and ability to effectively communicate with various levels of management in a multi-disciplinary environment. • Strong analytical skills with attention to detail. • Advanced level with Excel and financial analysis related to physician reimbursement.