AR Specialist 2

Savista•Remote - IL, IL

14d•$20 - $23

About The Position

The Medical Insurance Accounts Receivable Specialist is responsible for ensuring the timely collection of outstanding government or commercial healthcare insurance receivables. At Savista, the role supports healthcare organizations through revenue cycle improvement services while upholding the company’s values of Commitment, Authenticity, Respect and Excellence (CARE). The position also supports Savista’s Compliance Program by following applicable policies and procedures, including those concerning HIPAA, FDCPA, FCRA, and other laws relevant to Savista’s business practices. This includes understanding the Code of Ethics, attending required training, reporting compliance concerns or incidents, handling patient information in a HIPAA-compliant manner, and maintaining confidentiality.

Requirements

High school diploma or GED.
At least three years of experience in healthcare insurance accounts receivable follow-up, 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 EOBs and 1500 forms to conduct accounts receivable activities.
Knowledge of accounts receivable practices, medical business office procedures, coordination-of-benefits rules, denial overturns, and third-party payer billing and reimbursement procedures and practices.
At least three years of experience with accounts receivable software.
Experience navigating payer websites for appeals or reconsiderations, benefits verification, and online claims follow-up, with Medicare and Medicaid insurance background.
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 communicate effectively with payers, understand complex information, and accurately document encounters.
Ability to work effectively with cross-functional teams to achieve goals.
Demonstrated ability to meet performance objectives.

Nice To Haves

Experience with Athena EHR.
Experience with government payors, including Medicare, Medicaid, and Veterans Administration.

Responsibilities

Verify or obtain patient eligibility and/or authorization for healthcare services by using payer websites or client eligibility systems, or contacting insurance carriers or healthcare providers by phone.
Update patient demographic and/or insurance information in appropriate systems.
Research unpaid or denied claims and assign appropriate statuses.
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 prioritization guidelines, timely filing deadlines, and system notation protocols.
Obtain medical documentation as required or requested by third-party insurance carriers.
Research provider billing manuals to obtain billing guidelines and requirements.
Write technical appeal letters.
Verify underpayment accuracy by researching contracts and claims data.
Prepare claims for clinical audit processing when denials concern authorization, coding, level of care, and/or length of stay.
Adhere to Savista Compliance Program policies and procedures, including applicable legal requirements, training, reporting concerns or incidents, HIPAA-compliant patient information handling, and confidentiality obligations.
Meet productivity requirements of 55 claims per day and 275 claims per week.