Healthcare AR Specialist — Government Payer Focus

Savista; Illinois; In loco; USD 28.000 - 32.000; Tempo pieno

Descrizione del lavoro

Savista is seeking a Medical Insurance Accounts Receivable Specialist in Illinois to ensure timely collection of government or commercial insurance receivables. You will verify eligibility, update demographics, research unpaid claims, and monitor denials across payer systems.

You will also contact payers, prepare appeals, ensure documentation is accurate, and support the company’s HIPAA and compliance commitments. This role emphasizes cross-functional teamwork and meeting performance objectives.

Competenze

• Three years of healthcare insurance accounts receivable follow-up experience.
• Experience with government or commercial payers.
• Experience reviewing EOB and 1500 forms to conduct A/R activities.
• Knowledge of accounts receivable practices, medical office procedures, denial overturns.
• Three years of experience with accounts receivable software.
• Experience navigating payer sites for appeals/reconsiderations.

Mansioni

• Verifies patient eligibility and authorization by payer sites or phone with carriers/providers.
• Updates patient demographics and insurance information in systems.
• Researches and statuses unpaid or denied claims.
• Monitors claims for missing information, authorization, and control numbers.
• Researches EOBs for payments or adjustments to resolve claims.
• Contacts payers to secure payment of claims.
• Accesses client systems for payments, open claims, and data for claims resolution.
• Follows guidelines for prioritization and deadlines.
• Secures required medical documentation.
• Obtains billing guidelines from provider manuals.
• Writes appeal letters for technical appeals.
• Verifies accuracy of underpayments by reviewing contracts and data.
• Prepares claims for clinical audit if authorization/denial occurs.
• Supports compliance program adhering to HIPAA, FDCPA, FCRA, and related laws.

Conoscenze

Payer communications

Claims follow-up

Denial management

EOB review

Team collaboration

Formazione

High school diploma or GED

Strumenti

Athena EHR

Microsoft Excel

Microsoft Office

Internet Explorer

Descrizione del lavoro

Savista is seeking a Medical Insurance Accounts Receivable Specialist in Illinois to ensure timely collection of government or commercial insurance receivables. You will verify eligibility, update demographics, research unpaid claims, and monitor denials across payer systems.

You will also contact payers, prepare appeals, ensure documentation is accurate, and support the company’s HIPAA and compliance commitments. This role emphasizes cross-functional teamwork and meeting performance objectives.