[Remote] Accounts Receivable Specialist II

Note: The job is a remote job and is open to candidates in USA. Savista is a company that partners with healthcare organizations to improve revenue cycle services and enhance patient experiences. The Accounts Receivable Specialist II is responsible for ensuring timely collection of healthcare insurance receivables, verifying patient eligibility, and managing unpaid or denied claims.ResponsibilitiesVerifies 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 providersUpdates patient demographics and/or insurance information in appropriate systemsConducts research and appropriately statuses unpaid or denied claimsMonitors claims for missing information, authorization and control numbers (ICN//DCN)Researches EOBs for payments or adjustments to resolve claimsContacts payers by phone or through written correspondence to secure payment of claimsAccesses client systems for information regarding received payments, open claims and other data necessary to resolve claimsFollows guidelines for prioritization, timely filing deadlines, and notation protocols within appropriate systemsSecures medical documentation as required or requested by third party insurance carriersObtains billing guidelines and requirements by researching provider billing manualsWrites appeal letters for technical appealsVerifies accuracy of underpayments by researching contracts and claims dataIn the event of an authorization, coding, level of care and/or length of stay denial, prepares claims for clinical audit processingSupports Savista’s Compliance Program by adhering to policies and procedures pertaining to HIPAA, FDCPA, FCRA, and other laws applicable to Savista’s business practices. This includes: becoming familiar with Savista’s Code of Ethics, attending training as required, notifying management or Savista’s Helpline when there is a compliance concern or incident, HIPAA-compliant handling of patient information, and demonstrable awareness of confidentiality obligationsSkillsHigh school diploma or GEDAt least two years of experience in healthcare insurance accounts receivable follow up, working with or for a hospital/hospital system, working directly with government or commercial insurance payersExperience identifying billing errors and resubmitting claims as well as following up on payment errors, low reimbursement and denialsExperience reviewing EOB and UB-04 forms to conduct A/R activitiesKnowledge of accounts receivable practices, medical business office procedures, coordination of benefit rules and denial overturns and third-party payer billing and reimbursement procedures and practicesAt least two years of experience with accounts receivable softwareExperience navigating payer sites for appeals/reconsiderations, benefits verification and online claims follow upDemonstrated 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 toolsDemonstrated success working both individually and in a team environmentDemonstrated experience communicating effectively with payers, understanding complex information and accurately documenting the encounterAbility to work effectively with cross-functional teams to achieve goalsDemonstrated ability to meet performance objectivesCompany OverviewSavista is a revenue cycle management that provides operational transformation services to acute and ambulatory facilities and systems. It was founded in 2021, and is headquartered in Alpharetta, Georgia, USA, with a workforce of 1001-5000 employees. Its website is https://www.savistarcm.com.