AR Specialist

This is a fully remote position, open to applicants in Alabama, +10 more states.

📋 Description

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

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

• Update patient demographics and insurance details in the relevant systems.

• Investigate and appropriately categorize unpaid or denied claims.

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

• Analyze Explanation of Benefits (EOBs) for payments or adjustments to settle claims.

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

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

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

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

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

• Draft appeal letters for technical appeals.

• Verify underpayments by reviewing contracts and claims data.

• Prepare claims for clinical audit processing in cases of authorization, coding, level of care, or length-of-stay denials.

• Support Savista's Compliance Program by adhering to HIPAA, FDCPA, FCRA, and other relevant laws and procedures.

⛳️ Requirements

• High school diploma or GED.

• A minimum of two years of experience in healthcare insurance accounts receivable follow-up, working with or for a hospital/hospital system, directly with government or commercial insurance payers.

• Experience in identifying billing errors and resubmitting claims, as well as following up on payment errors, low reimbursements, and denials.

• Familiarity with reviewing EOB and UB-04 forms to carry out A/R activities.

• Knowledge of accounts receivable practices, medical business office procedures, coordination of benefit rules, denial overturns, and third-party payer billing and reimbursement practices.

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

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

• Proven 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 tools.

• Demonstrated success in working both independently and collaboratively within a team environment.

• Proven experience in effectively communicating with payers, comprehending complex information, and accurately documenting encounters.

• Ability to collaborate effectively with cross-functional teams to achieve objectives.

• Demonstrated ability to meet performance targets.

• Must reside in Alabama, Colorado, Florida, Georgia, Idaho, Kansas, Maine, Virginia, Vermont, Michigan, North Carolina, or South Carolina.

🏝️ Benefits

• Competitive salary package.

• Opportunities for professional development and advancement.

• Comprehensive health and wellness benefits.

• Supportive work environment fostering teamwork and collaboration.