Accounts Receivable Specialist 1

Savista partners with healthcare providers to improve their financial strength by implementing integrated spend management and revenue cycle solutions that help control cost, improve margins and cash flow, increase regulatory compliance, and optimize operational efficiency.

Essential Duties & Responsibilities: 

• Verify/obtain  eligibility and/or authorization utilizing payer web sites, client eligibility systems or via phone with the insurance carrier/providers 

• Update patient demographics/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 claim 

• Contacts payers via phone or written correspondence to secure payment of claims 

• Access client systems for payment, patient, claim and data info 

• Follows guidelines for prioritization, timely filing deadlines, and notation protocols within appropriate systems 

• Secure needed medical documentation required or requested by third party insurance carriers  

• 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 

Minimum Requirements & Competencies:  

• 1-2 years of medical collections/billing experience 

• Basic knowledge of ICD-10, CPT, HCPCS and NCCI 

• Basic knowledge of third party billing guidelines 

• Basic knowledge of billing claim forms(UB04/1500) 

• Basic knowledge of payor contracts 

• Working Knowledge of Microsoft Word and Excel 

• Basic working knowledge of health information systems (i.e. EMR, Claim Scrubbers, Patient Accounting Systems, etc.) 

Preferred Requirements & Competencies:  

• Working knowledge of one or more of the following Patient accounting systems -  EPIC, Cerner, STAR, Meditech, CPSI, Invision, PBAR, All Scripts or Paragon 

• Working knowledge of DDE Medicare claim system 

• Knowledge of government rules and regulations 

Note: Savista is required by state specific laws to include the salary range for this role when hiring a resident in applicable locations. The salary range for this role is from $13.13 to $20.63. However, specific compensation for the role will vary within the above range based on many factors including but not limited to geographic location, candidate experience, applicable certifications, and skills.