Accounts Receivable 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).Essential Duties & ResponsibilitiesVerify/obtain eligibility and/or authorization utilizing payer web sites, client eligibility systems or via phone with the insurance carrier/providersUpdate patient demographics/insurance information in appropriate systems -Research/ Status unpaid or denied claimsMonitor claims for missing information, authorization and control numbers (ICN//DCN)Research EOBs for payments or adjustments to resolve claimContacts payers via phone or written correspondence to secure payment of claims; reconsideration and appeal submission.Access client systems for payment, patient, claim and data infoFollows guidelines for prioritization, timely filing deadlines, and notation protocols within appropriate systemsSecure needed medical documentation required or requested by third party insurance carriersMaintain and respect the confidentiality of patient information in accordance with insurance collection guidelines and corporate policy and procedurePerform other related duties as requiredMinimum Requirements & Competencies2-3 years of medical collections, denials and appeals experienceExperience with all but not limited to the following denials- DRG downgrades, level of care, coding, medical necessityIntermediate knowledge of ICD-10, CPT, HCPCS and NCCIIntermediate knowledge of third-party billing guidelinesIntermediate knowledge of billing claim forms (UB04/1500)Intermediate knowledge of payor contracts- commercial and governmentIntermediate Working Knowledge of Microsoft Word and ExcelIntermediate knowledge of health information systems (i.e. EMR, Claim Scrubbers, Patient Accounting Systems, etc.)Preferred Requirements & CompetenciesIntermediate knowledge of one or more of the following Patient accounting systems - EPIC, Cerner, STAR, Meditech, CPSI, Invision, PBAR, All Scripts or ParagonIntermediate of DDE Medicare claim systemIntermediate Knowledge of government rules and regulationsSavista 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 $19.00 to $22.00 per hour. 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.California Job Candidate Notice #J-18808-Ljbffr