Accounts Receivable Specialist II

Savista•Remote - NC, NC

22d•$18 - $20

About The Position

At Savista, the Accounts Receivable Specialist II helps healthcare clients improve revenue cycle outcomes by ensuring timely collection of outstanding government or commercial healthcare insurance receivables. The role verifies patient eligibility and authorizations, updates patient and insurance information, researches unpaid or denied claims, and contacts payers to secure payment. It also supports claim resolution through documentation requests, technical appeals, underpayment verification, and clinical audit preparation. The position requires compliance with Savista policies and applicable laws, including HIPAA, FDCPA, and FCRA, and careful handling of patient information.

Requirements

High school diploma or GED.
At least two years of healthcare insurance accounts receivable follow-up experience, working with or for a hospital or hospital system and directly with government or commercial insurance payers.
Experience identifying billing errors and resubmitting claims, and following up on payment errors, low reimbursement, and denials.
Experience reviewing EOB and UB-04 forms to conduct accounts receivable activities.
Knowledge of accounts receivable practices, medical business office procedures, coordination of benefit rules, denial overturns, and third-party payer billing and reimbursement procedures and practices.
At least two years of experience with accounts receivable software.
Experience navigating payer sites for appeals or reconsiderations, benefits verification, and online claims follow-up.
Ability to navigate Internet Explorer and Microsoft Office, including entering and sorting data in Microsoft Excel and using company email and calendar tools.
Demonstrated ability to work both independently and in a team environment.
Demonstrated experience communicating effectively with payers, understanding complex information, and accurately documenting encounters.
Ability to work effectively with cross-functional teams to achieve goals.
Demonstrated ability to meet performance objectives.

Responsibilities

Verify or obtain patient eligibility and authorization for healthcare services through payer websites, client eligibility systems, or calls with insurers or healthcare providers.
Update patient demographics and insurance information in appropriate systems.
Research and appropriately status unpaid or denied claims.
Monitor claims for missing information, authorization, and control numbers (ICN/DCN).
Research EOBs for payments or adjustments to resolve claims.
Contact payers by phone or written correspondence to secure claim payment.
Access client systems for payment, open-claim, and other information needed to resolve claims.
Follow guidelines for prioritization, timely filing deadlines, and system notation protocols.
Secure medical documentation requested or required by third-party insurance carriers.
Research provider billing manuals to obtain billing guidelines and requirements.
Write technical appeal letters.
Verify the accuracy of underpayments by researching contracts and claims data.
Prepare claims for clinical audit processing when denials involve authorization, coding, level of care, or length of stay.
Support Savista’s Compliance Program by following applicable policies and procedures, completing required training, reporting compliance concerns or incidents, handling patient information in a HIPAA-compliant manner, and maintaining confidentiality.