Savista · 1 month ago
Accounts Receivable Specialist 2 (Medicaid/Medicare experience preferred)
United States
Full-time
Remote
Mid Level
$19/hr - $22/hr
3+ years expSavista is a company that enables healthcare organizations to navigate challenges in providing quality care and financial results. The Accounts Receivable Specialist 2 is responsible for verifying patient eligibility, updating information, conducting research on claims, and ensuring compliance with healthcare regulations.
AccountingBillingHealth Care
Responsibilities
Verifies or obtains patient eligibility and/or authorization for healthcare services performed by searching payer web sites or client eligibility systems, or by conducting phone conversations with the insurance carrier or healthcare providers
Updates patient demographics and/or insurance information in appropriate systems
Conducts research and appropriately statuses unpaid or denied claims
Monitors claims for missing information, authorization, and control numbers (ICN//DCN)
Research EOBs for payments or adjustments to resolve claims
Contacts payers by phone or through written correspondence to secure payment of claims
Accesses client systems for information regarding received payments, open claims and other data necessary to resolve claims
Follows guidelines for prioritization, timely filing deadlines, and notation protocols within appropriate systems
Secures medical documentation as required or requested by third party insurance carriers
Obtains billing guidelines and requirements by researching provider billing manuals
Writes appeal letters for technical appeals
Verifies accuracy of underpayments by researching contracts and claims data
In the event of an authorization, coding, level of care and/or length of stay denial, prepares claims for clinical audit processing
Supports Savista Compliance Program by adhering to policies and procedures pertaining to HIPAA, FDCPA, FCRA, and other laws applicable to Savista business practices. This includes becoming familiar with Savista's Code of Ethics, attending training as required, notifying management or Savista Helpline when there is a compliance concern or incident, HIPAA-compliant handling of patient information, and demonstrable awareness of confidentiality obligations
Qualification
Required
High school diploma or GED
At least three years of experience in healthcare insurance accounts receivable follow up, working with or for a hospital system, working directly with government or commercial insurance payers
Experience identifying billing errors and resubmitting claims as well as following up on payment errors, low reimbursement and denials
Experience reviewing EOB and 1500 forms to conduct A/R activities
Knowledge of accounts receivable practices, medical business office procedures, coordination of benefit rules and denial overturns and third-party payer billing and reimbursement procedures and practices
At least three years of experience with accounts receivable software
Experience navigating payer sites for appeals/reconsiderations, benefits verification and online claims follow up with Medicare and Medicaid insurance background
Demonstrated ability to navigate Internet Explorer and Microsoft Office, including the ability to input and sort data in Microsoft Excel and use company email and calendar tools
Demonstrated experience communicating effectively with payers, understanding complex information and accurately documenting the encounter
Ability to work effectively with cross-functional teams to achieve goals
Demonstrated ability to meet performance objectives
Productivity requirements are 55 claims per date/275 claims per week
Preferred
Experience with Epic - Required
Experience with both hospital (facility) and physician (pro-fee) A/R
Company
Savista
Savista is a revenue cycle management that provides operational transformation services to acute and ambulatory facilities and systems.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Jan T. Grimm
Chief Executive Officer
Recent News
EIN Presswire
2025-10-07
2025-06-23
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