AR Specialist 2 – Complex Clinical Denials

🔥 0 minutes ago

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

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 eligibility and authorization using payer websites, client eligibility systems, or telephone contact with insurance carriers/providers • 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 (ICN/DCN) • Research EOBs for payments or adjustments to resolve claims • Contact payers by phone or written correspondence to secure claim payments • Submit reconsiderations and appeals • Adhere to state and federal claim and appeal guidelines • Access client systems for payment, patient, claim, and data information • Follow prioritization guidelines, timely filing deadlines, and notation protocols • Secure medical documentation required or requested by third-party insurance carriers • Maintain patient information confidentiality • Follow productivity and performance-based role expectations • Perform other related duties as required

🎯 Requirements

• 2–3 years of medical collections, denials, and appeals experience • Experience with denials and appeals including DRG downgrades, level of care, coding, medical necessity, experimental, bundling, noncovered, and no authorization • Intermediate knowledge of ICD-10, CPT, HCPCS, and NCCI • Intermediate knowledge of third-party billing guidelines • Intermediate knowledge of UB-04 and 1500 billing claim forms • Intermediate knowledge of commercial and government payor contracts • Intermediate working knowledge of Microsoft Word and Excel • Intermediate knowledge of health information systems such as EMR, claim scrubbers, and patient accounting systems • Preferred: intermediate knowledge of patient accounting systems including EPIC, Collections Management, Cerner, STAR, Meditech, CPSI, Invision, PBAR, All Scripts, or Paragon • Preferred: intermediate knowledge of the DDE Medicare claim system • Preferred: intermediate knowledge of government rules and regulations

🏖️ Benefits

• Certified Great Place to Work 4 years in a row • Equal Opportunity Employer