Accounts Receivable Specialist 1

Savista•Remote - GA, GA
•$18 - $19

About The Position

Savista partners with healthcare providers to improve their financial strength through integrated spend management and revenue cycle solutions. The Accounts Receivable Specialist I is responsible for ensuring the timely collection of outstanding government or commercial healthcare insurance receivables. The role includes verifying eligibility or authorization, updating patient and insurance information, researching unpaid or denied claims, reviewing explanation of benefits (EOBs), and contacting payers to secure claim payments. The position also requires following collection guidelines and protecting confidential patient information.

Requirements

  • 1–2 years of medical collections or billing experience.
  • Basic knowledge of ICD-10, CPT, HCPCS, and NCCI.
  • Basic knowledge of third-party billing guidelines.
  • Basic knowledge of billing claim forms (UB-04/1500).
  • Basic knowledge of payer contracts.
  • Working knowledge of Microsoft Word and Excel.
  • Basic working knowledge of health information systems, such as EMR, claim scrubbers, and patient accounting systems.

Nice To Haves

  • Working knowledge of one or more patient accounting systems: EPIC, Cerner, STAR, Meditech, CPSI, Invision, PBAR, All Scripts, or Paragon.
  • Working knowledge of the DDE Medicare claim system.
  • Knowledge of government rules and regulations.

Responsibilities

  • Verify or obtain eligibility and/or authorization through payer websites, client eligibility systems, or by contacting insurance carriers or providers by phone.
  • Update patient demographics and insurance information in appropriate systems.
  • Research and 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 payment of claims.
  • Access client systems for payment, patient, claim, and data information.
  • Follow guidelines for prioritization, timely filing deadlines, and notation protocols within appropriate systems.
  • Secure 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 policies and procedures.
  • Perform other related duties as required.
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