AR Specialist 2

🔥 14 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

💰 Accounts Receivable

🚫👨‍🎓 No degree required

👻 Ghost score 10%

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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/obtain eligibility and/or authorization using payer websites, client eligibility systems, or phone • Update patient demographics and insurance information in appropriate systems • Research/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 payment, patient, claim, and data information • Follow prioritization, timely filing deadline, and notation protocols • Secure medical documentation requested by third-party insurance carriers • Maintain patient-information confidentiality according to insurance collection guidelines and corporate policies • Utilize provider billing manuals to obtain billing guidelines and requirements • Write appeal letters for technical appeals • Verify underpayment accuracy using contracts and claims data • Prepare claims for clinical audit processing for authorization, coding, level-of-care, or length-of-stay denials • Perform other related duties as required • Serve as a liaison to clinical auditors, team members, hospital staff, government agencies, and health plans to facilitate prompt claim payment

🎯 Requirements

• 2+ years of medical collections/billing experience • Intermediate knowledge of ICD-10, CPT, HCPCS and NCCI • Intermediate knowledge of third party billing guidelines • Intermediate knowledge of billing claim forms (UB04/1500) • Intermediate knowledge of payor contracts • Working knowledge of Microsoft Word and Excel • Intermediate working knowledge of health information systems (i.e. EMR, Claim Scrubbers, Patient Accounting Systems, etc.) • Working knowledge of one or more of the following patient accounting systems: EPIC, Cerner (preferred) • Working knowledge of DDE Medicare claim system (preferred) • Knowledge of government rules and regulations (preferred)

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