Accounts Receivable Specialist 2

Work set-up: 
Full Remote
Contract: 
Work from: 

Offer summary

Qualifications:

Minimum of 2 years experience in medical collections or billing., Intermediate knowledge of ICD-10, CPT, HCPCS, and NCCI coding systems., Familiarity with third-party billing guidelines and claim forms (UB04/1500)., Proficiency in Microsoft Word, Excel, and health information systems like EMR..

Key responsibilities:

  • Verify and obtain eligibility and claim status from payers.
  • Update patient demographics and insurance information in systems.
  • Research unpaid or denied claims and follow up with payers.
  • Maintain confidentiality of patient information and ensure timely claim processing.

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Savista Large https://www.savistarcm.com/
1001 - 5000 Employees
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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).

Excited to grow your career with SAVISTA?

We value our talented employees, and whenever possible, strive to help our colleagues grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply!

Our people make all the difference in our success.

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.

Accounts Receivable Specialist 2

Essential Duties & Responsibilities

  • Verify/obtain eligibility and/or status of claims 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:  

  • 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.) 

Preferred Skills:

  • Experience with Epic
  • Experience with coordination of benefits and patient calling
  • Experience working with self-pay credits and self-pay refunds

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 $19 to $22. 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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Required profile

Experience

Spoken language(s):
English
Check out the description to know which languages are mandatory.

Other Skills

  • Microsoft Excel
  • Microsoft Word
  • Time Management
  • Communication
  • Problem Solving

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