Payment Resolution 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

• Verify patient eligibility, billing, and claim information across various systems • Review and update patient demographics, insurance details, and coverage in Client systems • Review accounts for authorization and forward to the Clinical team for review • Prepare and send approval, exception, or denial reports to Clients • Track account progression and update internal systems accordingly • Follow guidelines for prioritization, timely filing, and notation protocols • Monitor payments in Client systems for accurate invoicing • Identify and escalate payer, system, or account issues as needed • Maintain confidentiality and follow guidelines on prioritization, timeliness, and documentation • Participate in meetings, training, and client interactions to ensure accurate billing and collections • Complete special projects as required • Adhere to and maintain strict confidentiality of patient information in accordance with insurance collection guidelines, HIPAA, corporate policy, and procedure, etc.

🎯 Requirements

• High School Diploma or GED • Strong organizational and time management skills • Experience managing priorities, multiple systems, and performance metrics • Proficient in Medicare, Managed Care, and Commercial Insurances • Advanced MS Office skills, especially Excel • Excellent communication, interpersonal, and problem-solving abilities • Experience with Federal/State programs (Social Security, Medicaid, Charity Care, etc.) (preferred) • Experience utilizing EPIC, Cerner, or Meditech systems. (preferred)