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Medical Insurance Accounts Receivable Representative II @Savista, LLC

[Hiring] Medical Insurance Accounts Receivable Representative II @Savista, LLC

Mar 26, 2025 - Savista, LLC is hiring a remote Medical Insurance Accounts Receivable Representative II. 💸 Salary: $18.00 to $20.00 per hour. 📍Location: USA.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more.

Role Description

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

  • 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.
  • Supports Savista’s Compliance Program by adhering to policies and procedures pertaining to HIPAA, FDCPA, FCRA, and other laws applicable to Savista’s business practices.

Qualifications

  • 2+ years of medical collections/billing experience
  • Intermediate knowledge of ICD-10, CPT, HCPCS and NCCI
  • Intermediate knowledge of third party billing guidelines
  • Intermediate knowledge of billing claim forms (UB04/1500)
  • Intermediate knowledge of payor contracts
  • Working knowledge of Microsoft Word and Excel
  • Intermediate working knowledge of health information systems (i.e. EMR, Claim Scrubbers, Patient Accounting Systems, etc.)

Requirements

  • Working knowledge of one or more of the following Patient accounting systems - EPIC, Cerner, STAR, Meditech, CPSI, Invision, PBAR, All Scripts, or Paragon
  • Working knowledge of DDE Medicare claim system
  • Knowledge of government rules and regulations

Benefits

  • The salary range for this role is from $18.00 to $20.00.
  • Specific compensation for the role will vary within the above range based on many factors including but not limited to geographic location, candidate experience, applicable certifications, and skills.

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Before You Apply
📍 Be aware of the location restriction for this remote position: USA
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Medical Insurance Accounts Receivable Representative II @Savista, LLC
Customer Service
Salary 💸 $18.00 to $20.00 per hour
Remote Location
USA
Job Type full-time
Posted Mar 26, 2025
Apply for this position Unlock 54,735 Remote Jobs
📍 Be aware of the location restriction for this remote position: USA
Beware of scams! When applying for jobs, you should NEVER have to pay anything. Learn more.
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