Healthcare AR Specialist — Denials & Appeals Expert

Savista, LLC; Illinois; Hybrid; USD 28,000 - 32,000; Full time

Job summary

Savista, LLC is seeking a Medical Collections Specialist in Illinois to support revenue cycle functions. You will verify eligibility, handle denials and appeals, and communicate with payers to secure payments while following HIPAA and internal policies.

Responsibilities include updating demographics, researching unpaid or denied claims, monitoring claim status, and ensuring timely filing in client systems. Proficiency with ICD-10/CPT/HCPCS and common EMR systems is preferred.

Qualifications

• 2-3 years of medical collections, denials and appeals experience.
• Experience with DRG downgrades, level of care, coding, medical necessity, etc.
• ICD-10, CPT, HCPCS and NCCI knowledge.
• Third-party billing guidelines familiarity.
• UB04/1500 claim forms knowledge.
• Payor contracts knowledge (commercial and government).
• Intermediate MS Word and Excel skills.
• Familiar with health information systems (EMR/Claim Scrubbers/Patient Accounting).

Responsibilities

• Verify/obtain eligibility and/or authorization using payer sites or client systems.
• Update patient demographics/insurance in appropriate systems.
• Research unpaid or denied claims and monitor status (ICN/DCN).
• Research EOBs for payments or adjustments to resolve claims.
• Contact payers by phone or written correspondence to secure payment.
• Adhere to state and federal claim and appeal guidelines.
• Access client systems for payment, patient, claim and data info.
• Follow guidelines for prioritization and timely filing deadlines.

Skills

Medical collections

Denials & appeals

Payer communication

ICD-10/CPT knowledge

Billing guidelines

Microsoft Word/Excel

EMR systems knowledge

Tools

EPIC

Cerner

STAR

Meditech

CPSI

Invision

PBAR

All Scripts

Paragon

DDE Medicare

UB04/1500 forms

Job description

Savista, LLC is seeking a Medical Collections Specialist in Illinois to support revenue cycle functions. You will verify eligibility, handle denials and appeals, and communicate with payers to secure payments while following HIPAA and internal policies.

Responsibilities include updating demographics, researching unpaid or denied claims, monitoring claim status, and ensuring timely filing in client systems. Proficiency with ICD-10/CPT/HCPCS and common EMR systems is preferred.