Senior Healthcare A/R Specialist II

Savista; Raleigh (NC); Vor Ort; USD 25.000 - 28.000; Vollzeit

Zusammenfassung

Savista is seeking an Accounts Receivable Specialist II to ensure timely collection of government or commercial healthcare insurance receivables. The role involves verifying eligibility, updating patient data, researching unpaid claims, and contacting payers to secure payment.

You will also support HIPAA compliance and respond to denials with accurate documentation. Ideal candidates have at least two years in healthcare A/R, experience with payer websites, EOB/UB-04 reviews, and strong Excel

Qualifikationen

• High school diploma or GED required.
• At least 2 years in healthcare insurance A/R follow up.
• Experience with government or commercial payers.
• Experience reviewing EOB/UB-04 forms.
• Knowledge of A/R practices and denial management.
• Experience with payer sites for appeals.
• Strong communication and teamwork abilities.
• Proficiency in Excel and email/calendar tools.

Aufgaben

• Verify patient eligibility and authorization via payer portals or calls.
• Update demographics and insurance information in systems.
• Research unpaid or denied claims and monitor status.
• Contact payers to secure payment and track ICN/DCN.
• Obtain billing guidelines and supporting documentation.
• Prepare claims for clinical audit when applicable.
• Support compliance with HIPAA and related laws.

Kenntnisse

A/R follow-up

Denials resolution

Government payer billing

Excel proficiency

HIPAA compliance

Ausbildung

High school diploma or GED

Tools

Accounts receivable software

Microsoft Office

Jobbeschreibung

Savista is seeking an Accounts Receivable Specialist II to ensure timely collection of government or commercial healthcare insurance receivables. The role involves verifying eligibility, updating patient data, researching unpaid claims, and contacting payers to secure payment.

You will also support HIPAA compliance and respond to denials with accurate documentation. Ideal candidates have at least two years in healthcare A/R, experience with payer websites, EOB/UB-04 reviews, and strong Excel