Accounts Receivable Specialist

8 hours ago


High Point, North Carolina, United States Savista Full time
Job Title: Accounts Receivable Specialist

Savista is seeking a highly skilled Accounts Receivable Specialist to join our team. As a key member of our revenue cycle improvement services, you will play a critical role in ensuring the timely collection of outstanding government or commercial healthcare insurance receivables.

Key Responsibilities:
  • Verify and obtain eligibility and/or authorization for patients using payer websites, client eligibility systems, or phone calls with insurance carriers/providers.
  • Update patient demographics and insurance information in relevant systems.
  • Research and resolve unpaid or denied claims.
  • Monitor claims for missing information, authorization, and control numbers.
  • Research EOBs for payments or adjustments to resolve claims.
  • Communicate with payers via phone or written correspondence to secure payment of claims.
  • Access client systems for payment, patient, claim, and data information.
  • Follow guidelines for prioritization, timely filing deadlines, and notation protocols within relevant systems.
  • Secure necessary medical documentation required or requested by third-party insurance carriers.
  • Maintain and respect patient confidentiality in accordance with insurance collection guidelines and corporate policy and procedure.
Requirements:
  • 1-2 years of medical collections/billing experience.
  • Basic knowledge of ICD-10, CPT, HCPCS, and NCCI.
  • Basic knowledge of third-party billing guidelines.
  • Basic knowledge of billing claim forms (UB04/1500).
  • Basic knowledge of payor contracts.
  • Working knowledge of Microsoft Word and Excel.
  • Basic working knowledge of health information systems (e.g., EMR, Claim Scrubbers, Patient Accounting Systems, etc.).
Preferred Requirements:
  • Working knowledge of one or more patient accounting systems (e.g., EPIC, Cerner, STAR, Meditech, CPSI, Invision, PBAR, All Scripts, or Paragon).
  • Working knowledge of DDE Medicare claim system.
  • Knowledge of government rules and regulations.

Savista is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment based on 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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