Offer summary

Qualifications:

Minimum of 3 years experience in medical collections or billing., Intermediate knowledge of ICD-10, CPT, HCPCS, and NCCI coding systems., Expertise in third-party billing guidelines and claim forms (UB04/1500)., Strong understanding of payor contracts and health information systems..

Key responsibilities:

Verify patient eligibility and obtain authorizations from payers.

Research and resolve unpaid or denied claims and follow up on payments.

Maintain patient information and ensure confidentiality according to policies.

Assist with training, special projects, and provide guidance to colleagues.

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:

Performs all duties of AR Specialist I and II :
- 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

In addition:

Utilizes reports for analysis and to monitor follow up activities and prioritization
Assists organization with working through special projects as needed
SME for colleagues and provide direction for resolution of accounts.
Assists in new hire training.
Assists in content building of training materials

Minimum Requirements & Competencies:

3+ years of medical collections/billing experience
Intermediate knowledge of ICD-10, CPT, HCPCS and NCCI
Expert knowledge of third party billing guidelines

Expert knowledge of billing claim forms(UB04/1500)
Expert 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 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
Prior Supervisory or leadership experience
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 $17.13 to $22.00. 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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