AR Specialist 2

This is a fully remote position, open to applicants in United States.

📋 Description

• Ensure the prompt collection of outstanding receivables from government or commercial healthcare insurance.

• Verify or obtain patient eligibility and authorization for healthcare services.

• Update patient demographics and insurance details.

• Investigate and appropriately categorize unpaid or denied claims.

• Monitor claims for missing information, authorization, and control numbers.

• Examine EOBs for payments or adjustments to effectively resolve claims.

• Communicate with payers via phone or written correspondence to secure claim payments.

• Access client systems to review received payments, open claims, and other necessary data for claim resolution.

• Adhere to prioritization, timely filing deadlines, and system notation protocols.

• Secure medical documentation requested by third-party insurance carriers.

• Research provider billing manuals to gather billing guidelines and requirements.

• Draft appeal letters for technical appeals.

• Verify underpayments by examining contracts and claims data.

• Prepare denied claims for clinical audit processing.

• Support Savista’s Compliance Program by complying with HIPAA, FDCPA, FCRA, and other relevant laws.

• Manage patient information in accordance with HIPAA regulations and maintain confidentiality.

⛳️ Requirements

• High school diploma or GED.

• Minimum of two years of experience in healthcare insurance accounts receivable follow-up.

• Experience working with or for a hospital or hospital system.

• Experience interacting directly with government or commercial insurance payers.

• Proven experience in identifying billing errors, resubmitting claims, and following up on payment discrepancies, low reimbursements, and denials.

• Familiarity with reviewing EOB and UB-04 forms for A/R activities.

• Understanding of accounts receivable practices and medical business office procedures.

• Knowledge of coordination of benefit rules, denial overturns, and third-party payer billing and reimbursement processes.

• At least two years of experience using accounts receivable software.

• Experience navigating payer websites for appeals/reconsiderations, benefits verification, and online claims follow-up.

• Proficiency in Internet Explorer and Microsoft Office.

• Ability to input and sort data in Microsoft Excel.

• Competence in using company email and calendar tools.

• Demonstrated capability to work independently and as part of a team.

• Proven experience in effectively communicating with payers, understanding complex information, and accurately documenting interactions.

• Ability to collaborate effectively with cross-functional teams.

• Demonstrated ability to meet performance objectives.

• Preferred: Experience with Epic, Meditech, Cerner, Invision, Paragon, Soarian, Collections Management, or STAR.

• Preferred: Experience in a hospital or hospital system with over 250 beds.

• Preferred: Experience with both hospital (facility) and physician (pro-fee) A/R.

🏝️ Benefits

• Certified Great Place to Work for four consecutive years.

• Equal Opportunity Employer.

• Internal mobility support and access to Talent Acquisition for opportunity details (for current employees).