Accounts Receivable Specialist II

Savista, LLC; United States; Remote; USD 60,000 - 80,000; Full time

Job summary

A leading company in healthcare services is seeking an Accounts Receivable Specialist II to manage and ensure timely collection of insurance receivables. The role involves verifying patient eligibility, handling claims, and ensuring compliance with healthcare regulations. Ideal candidates will have experience in healthcare billing and strong communication skills. Join a team dedicated to improving financial results while supporting patient care.

Qualifications

• At least two years of experience in healthcare insurance accounts receivable follow up.
• Experience identifying billing errors and resubmitting claims.

Responsibilities

• Ensures timely collection of outstanding healthcare insurance receivables.
• Contacts payers to secure payment of claims.
• Conducts research on unpaid or denied claims.

Skills

Communication

Teamwork

Problem Solving

Education

High school diploma or GED

Tools

Microsoft Office

Accounts Receivable Software

Job description

Accounts Receivable Specialist II page is loaded

Accounts Receivable Specialist II

Apply locations Remote - USA time type Full time posted on Posted Yesterday job requisition id R4705

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).

The Accounts Receivable Specialist II is responsible for ensuring the timely collection of outstanding government or commercial healthcare insurance receivables.

Responsibilities:

• Verifies or obtains patient eligibility and/or authorization for healthcare services performed by searching payer web sites or client eligibility systems, or by conducting phone conversations with the insurance carrier or healthcare providers.
• Updates patient demographics and/or insurance information in appropriate systems.
• Conducts research and appropriately statuses unpaid or denied claims.
• Monitors claims for missing information, authorization and control numbers (ICN//DCN).
• Researches EOBs for payments or adjustments to resolve claims.
• Contacts payers by phone or through written correspondence to secure payment of claims.
• Accesses client systems for information regarding received payments, open claims and other data necessary to resolve claims.
• Follows guidelines for prioritization, timely filing deadlines, and notation protocols within appropriate systems.
• Secures medical documentation as required or requested by third party insurance carriers.
• Obtains billing guidelines and requirements by researching provider billing manuals.
• Writes appeal letters for technical appeals.
• Verifies accuracy of underpayments by researching contracts and claims data.
• In the event of an authorization, coding, level of care and/or length of stay denial, prepares claims for clinical audit processing.
• SupportsSavista’sCompliance Program by adhering to policies and procedures pertaining to HIPAA, FDCPA, FCRA, and other laws applicable toSavista’sbusiness practices. This includes: becoming familiar withSavista’sCode of Ethics, attending training as required, notifying management orSavista’sHelpline when there is a compliance concern or incident, HIPAA-compliant handling of patient information, and demonstrable awareness of confidentiality obligations.

Requirements:

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

N ote: 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 $18.00 to $20.00.

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

Job Scam Alert

It has come to our attention that there have been some bad actors using our company name to solicit personal information as part of a fraudulent hiring scam.

Unfortunately, this is out of our control, but we want to make it clear that this behavior is unacceptable.

All of our open roles are posted on our careers page . Should you apply for a role and be contacted by an employee of Savista, all of our interviews will be scheduled by someone with an @savistarcm.com email address and conducted over video call or in-person. We never ask you to provide personal information through other means, such as Telegram or social media platforms, as part of our interview or onboarding process.

Savista does not and will not ask you to share any personally identifiable information (such as bank account details, SSN, etc) by any other means than a secure platform. We recommend you do not share any sensitive information over the phone or email.

Fraudulent hiring scams often also ask for financial information and may ask for “advances.” Savista does not ask for any financial commitment at any stage of the recruitment process. We have reported and flagged these job scams when we’ve seen them. We also encourage you to contact your state attorney general’s office to report any potential scams and also recommend you contact any recruiting website and/or social media platform that may have been involved as well to notify them.

Savista has no responsibility for fraudulent offers and advises job candidates to follow the guidance provided.