Accounts Receivable Specialist 1

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).

Savista partners with healthcare providers to improve their financial strength by implementing integrated spend management and revenue cycle solutions that help control cost, improve margins and cash flow, increase regulatory compliance, and optimize operational efficiency.

The Accounts Receivable Specialist I is responsible for ensuring the timely collection of outstanding government or commercial healthcare insurance receivables.

Essential Duties & Responsibilities: 

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 

Perform other related duties as required 

Minimum Requirements & Competencies:  

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 (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 

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 $18.00 to $19.00. 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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