Accounts Receivable Specialist 1

Savista; United States; On-site; Full time

Job summary

Savista, a leader in healthcare revenue cycle improvement, is seeking an Accounts Receivable Specialist 1. This entry-level role involves handling medical billing, managing claim statuses, and working with healthcare organizations to ensure payment collection while respecting patient confidentiality and insurance guidelines. Candidates with a basic knowledge of coding systems (ICD-10, CPT) and medical billing processes will thrive in this role.

Qualifications

• 1-2 years of medical collections experience is required.
• Basic knowledge of ICD-10, CPT, HCPCS expected.
• Familiar with payment processing and claim resolution.

Responsibilities

• Verify eligibility and authorization using payer websites.
• Research unpaid or denied claims and follow up via phone.
• Maintain patient confidentiality according to guidelines.

Skills

ICD-10

CPT

HCPCS

Third Party Billing Guidelines

Medical Collections

Microsoft Word

Microsoft Excel

Education

1-2 years of medical collections/billing experience

Tools

Patient Accounting Systems

EMR

Job description

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Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE).

Essential Duties & Responsibilities

• Verify/obtain eligibility and/or authorization utilizing payer web sites, client eligibility systems or via phone with the insurance carrier/providers
• Update patient demographics/insurance information in appropriate systems -
• Research/ Status unpaid or denied claims
• Monitor claims for missing information, authorization and control numbers(ICN//DCN)
• Research EOBs for payments or adjustments to resolve claim
• Contacts payers via phone or written correspondence to secure payment of claims
• Access client systems for payment, patient, claim and data info
• Follows guidelines for prioritization, timely filing deadlines, and notation protocols within appropriate systems
• Secure needed 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 policy and procedure
• Perform other related duties as required
  
  

Minimum Requirements & Competencies

• 1-2 years of medical collections/billing experience
• Basic knowledge of ICD-10, CPT, HCPCS and NCCI
• Basic knowledge of third party billing guidelines
• Basic knowledge of billing claim forms(UB04/1500)
• Basic knowledge of payor contracts
• Working Knowledge of Microsoft Word and Excel
• Basic working knowledge of health information systems (i.e. EMR, Claim Scrubbers, Patient Accounting Systems, etc.)
  
  

Preferred Requirements & Competencies

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

Note: Savista is required by state specific laws to include the salary range for this role when hiring a resident in applicable locations. The salary range for this role is from $17.00 to $19.00. However, specific compensation for the role will vary within the above range based on many factors including but not limited to geographic location, candidate experience, applicable certifications, and skills.

SAVISTA is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, age, veteran status, disability, national origin, sex, sexual orientation, religion, gender identity or any other federal, state or local protected class.

California Job Candidate Notice

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Accounting/Auditing and Finance

• Industries

  Hospitals and Health Care

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