Accounts Receivable Specialist 1 – Remote (No Degree RQD) Savista

Effizotech; Des Plaines (IL); Remote; USD 60,000 - 80,000; Full time

Job summary

An established industry player in healthcare solutions is seeking an Accounts Receivable Specialist to join their team. This role is pivotal in managing post-payment processes and ensuring timely claim payments. You'll collaborate with clinical auditors, hospital staff, and payers, enhancing the financial outcomes for healthcare organizations. With a focus on patient care and operational excellence, this position offers the chance to make a significant impact in the healthcare sector. If you have experience in medical collections and a passion for improving patient experiences, this opportunity is perfect for you.

Qualifications

• 1-2 years of experience in medical collections or billing.
• Basic knowledge of ICD-10, CPT, and HCPCS coding.

Responsibilities

• Manage Post-payment and Account Follow-up for Client Hospital Accounts.
• Verify eligibility and authorization through various systems.

Skills

Medical Collections

ICD-10 Coding

CPT Coding

HCPCS Coding

Claim Resolution

Communication Skills

Education

High School Diploma

Certification in Medical Billing

Tools

Microsoft Word

Microsoft Excel

EPIC

Cerner

Job description

About Savista

At Savista, we help our clients overcome major healthcare challenges by providing solutions that enhance clinical care, patient experiences, and financial outcomes. We collaborate with healthcare organizations to improve revenue cycles, supporting their success, patients, and communities, guided by our core values of Commitment, Authenticity, Respect, and Excellence (CARE).

Position Overview

This role involves managing Post-payment and Account Follow-up, including grievance preparation for assigned Client Hospital Accounts Receivable. Responsibilities may be performed onsite or at a centralized location, handling account maintenance across various payers such as government programs, managed care, and commercial insurers. The AR Specialist acts as a liaison among clinical auditors, hospital staff, government agencies, and health plans to ensure timely claim payments.

Essential Duties & Responsibilities

• Verify and obtain eligibility and authorization through payer websites, client systems, or phone calls.
• Update patient demographics and insurance information in relevant systems.
• Research and track unpaid or denied claims.
• Monitor claims for missing information, authorization, and control numbers (ICN/DCN).
• Review Explanation of Benefits (EOBs) for payments or adjustments to resolve claims.
• Contact payers via phone or written correspondence to secure claim payments.
• Access client systems for payment, patient, claim, and data information.
• Follow guidelines for prioritization, timely filing, and notation protocols.
• Secure necessary medical documentation as requested by third-party insurers.
• Maintain confidentiality of patient information in accordance with policies and regulations.
• Perform other related duties as required.

Minimum Requirements & Competencies

• 1-2 years of experience in medical collections or billing.
• Basic knowledge of ICD-10, CPT, HCPCS, and NCCI coding.
• Understanding of third-party billing guidelines and claim forms (UB04/1500).
• Knowledge of payor contracts.
• Proficiency in Microsoft Word and Excel.
• Basic familiarity with health information systems (e.g., EMR, Claim Scrubbers, Patient Accounting Systems).

Preferred Qualifications

• Experience with patient accounting systems such as EPIC, Cerner, STAR, Meditech, CPSI, Invision, PBAR, All Scripts, or Paragon.
• Knowledge of DDE Medicare claim system.

Additional Information

Note: The salary range for this role is from $13.13 to $18.63 per hour, varying based on location, experience, certifications, and skills. Savista is an Equal Opportunity Employer and values diversity in the workplace.