Billing Specialist 2

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).



The Billing Specialist II is responsible for the timely submission of technical or professional medical claims to insurance companies.



Duties & Responsibilities



Utilize various hospital/physician systems to verify patient, billing and claim information for accuracy
Perform compliant primary/secondary, tertiary and rebill billing functions which can include electronic, paper and portal submission to payers
Edit claims to meet and satisfy billing compliance guidelines for electronic and hardcopy submission
Respond timely to emails and telephone messages as appropriate
Communicate issues to management, including payer, system, or escalated account issues
Participate and attend meetings as requested, training seminars and in-services to develop job knowledge
Serves and protects the hospital community by adhering to professional standards, hospital policies and procedures, federal, state, and local requirements, and JCAHO standards
Enhances billing department and hospital reputation by accepting ownership for accomplishing new and different requests; exploring opportunities to add value to job accomplishments
Update patient demographics/insurance information in appropriate systems
Monitor claims for missing information, authorization, and control numbers (ICN//DCN)
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
Utilize provider billing manuals to obtain billing guidelines and requirements
Import verification and escalation of import/export files
Special Handling billing included not limited to interim bills, overlap review, redistribution of money for correct claim creation
Resolve and research billing Rejections



Qualifications & 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 Qualifications


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 $16.00 to $22.63. 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.



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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