Offer summary

Qualifications:

1-2 years of medical collections or billing experience required., Basic knowledge of ICD-10, CPT, HCPCS, and NCCI is essential., Familiarity with third-party billing guidelines and billing claim forms (UB04/1500) is necessary., Proficiency in Microsoft Word and Excel, along with basic health information systems knowledge, is expected..

Key responsibilities:

Verify and obtain eligibility and authorization using various systems and communication methods.

Update patient demographics and insurance information in appropriate systems.

Research unpaid or denied claims and monitor claims for missing information.

Contact payers to secure payment of claims and maintain confidentiality of patient information.

Job description

Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE).

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 $17.00 to $19.50. 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.

SAVISTA is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, age, veteran status, disability, national origin, sex, sexual orientation, religion, gender identity or any other federal, state or local protected class.

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