Savista

Manager

• Serve as the primary operational leader for a major client(s) within multiple regions, managing $3.0M+ in revenue.
• Own day-to-day client relationships, ensuring service level agreements (SLAs), quality standards, and performance expectations are met.
• Lead client meetings as appropriate; prepare, review, and present weekly, monthly and quarterly operational reports.
• Proactively identify service risks, performance gaps, or potential contractual concerns and escalate appropriately.
• Drive continuous improvement initiatives to enhance client satisfaction and operational outcomes.
• Act as an escalation point for complex cases, working with internal and external stakeholders to resolve issues promptly.
• Partner with hospital leadership, government agencies, and other departments to ensure seamless processes and patient care.
• Travel regularly to assigned facilities, ensuring timely and efficient support across multiple locations within the service area.
• Complete special projects, as assigned.
• Manage workload distribution and inventory management across the team, aligning capacity with demand to drive efficiency, productivity, and service level performance.
• Oversee workflow execution, productivity, and quality assurance processes to ensure timely and accurate processing of eligibility accounts.
• Ensure adherence to QA standards; review audit results, implement remedial training and/or corrective actions, and monitor sustained improvement.
• Use multiple systems and databases to gather, track, and report on patient data.
• Develop, refine, and enforce policies and procedures to align with regulatory, compliance, and client requirements.
• Identify opportunities to improve processes, leverage technology, and enhance eligibility workflows.
• Monitor compliance with HIPAA, Medicaid, Charity Care, Disability, and other regulatory guidelines.
• Accountable for individual facility level and regional market financial performance, including revenue, expense management, and margin optimization.
• Lead, mentor, and develop an eligibility team with both direct and indirect reports, ensuring alignment with organizational goals, operational standards, and performance expectations.
• Monitor team and individual performance and quality metrics, providing regular feedback and implement corrective action and performance improvement plans as necessary.
• Oversee hiring, onboarding, performance management, coaching, corrective actions, and terminations in partnership with HR.
• Manage workforce planning, scheduling, overtime oversight, travel expenditures and resource allocation to ensure productivity and coverage standards are achieved.
• Ensure colleagues receive appropriate training, tools, and development opportunities to perform effectively.
• Partner with the Eligibility Specialist III and Revenue Cycle Training team to create and deliver training programs, ensuring colleagues are equipped with knowledge and skills needed to succeed in their roles.

Manager, Patient Eligibility

Medical Billing and Coding

• The Pro Fee Coder will review clinical documentation to assign and sequence diagnostic and procedural codes for specific patient types to meet the requirements of hospital data or physician data retrieval for billing and reimbursement.
• Coder I may validate APC calculations to accurately capture the diagnoses/procedures documented in the clinical record for hospitals.
• The Coder I performs documentation review and assessment for accurate abstracting of clinical data to meet regulatory and compliance requirements.
• Coder I may interact with client staff and providers.
• Select and sequence ICD-10, and/or CPT/HCPCS codes for designated patient types which may include but not limited to: Ancillary (Diagnostic)/ Recurring; Hospital, Clinic; Physician Pro Fee; Technical Fee or Evaluation and Management, any associated chart capturing with any patient type.
• Review and analyze facility records to ensure that APC assignments and/or Evaluation and Management codes accurately reflect the diagnoses/procedures documented in the clinical record.
• Abstract clinical data from the record after documentation review to ensure that it is adequate and appropriate to support diagnoses, procedures and discharge disposition is selected.
• Complete assigned work functions utilizing appropriate resources.
• May act as a resource with client staff for data integrity, clarification and assistance in understanding and determining appropriate and compliant coding practices including provider queries.
• Maintain strict patient and provider confidentiality in compliance with all HIPPA Guidelines.
• Participate in client and Savista staff meetings, trainings, and conference calls as requested and/or required.
• Maintain current working knowledge of ICD-10 and/or CPT/HCPCS and coding guidelines, government regulations, protocols and third-party requirements regarding coding and/or billing.
• Participate in continuing education activities to enhance knowledge, skills, and maintain current credentials.

Coding Specialist II – Oncology Profee

Customer Support

• Resolve patient healthcare accounts by negotiating payment with patients/guarantors while meeting or exceeding performance and quality objectives.
• Communicating with patients and providing updated account information.
• Through both inbound and outbound calls leveraging an auto-dialer, negotiate payment plans with customers by reviewing account history both through the Savista database.
• Maintain a 96% quality score through superior customer service and accurate documentation of customer encounters.
• Perform routine tasks or repetitious tasks with care and attention.
• Answer incoming patient or client call/email requests and handle in a prompt, courteous and professional manner.
• 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.

Customer Service Representative, 6-9 Month Contract

Call Center Representative

• Provide support through inbound call handling.
• Verify caller and patient identity in accordance with client-approved authentication procedures prior to discussing any account or refund-related information.
• Assist callers in understanding the purpose of the refund initiative, the status of their refund and next steps based on client-approved workflows
• Respond to patient inquiries using approved scripts, workflows, and escalation protocols.
• Accurately document all call interactions in client-designated systems, following training and documentation standards.

• The Coding Specialist III will review clinical documentation to assign and sequence diagnostic and procedural codes for specific patient types to meet the needs of hospital data retrieval for billing and reimbursement.
• Coding Specialist III validate MSDRG and/or APC calculations in order to accurately capture the diagnoses/procedures documented in the clinical record.
• Coding Specialist III performs documentation review and assessment for accurate abstracting of clinical data to meet regulatory and compliance requirements.
• Coding Specialist III may interact with client staff and providers.
• Select and sequence ICD-10, and/or CPT/HCPCS codes for designated patient types which may include but is not limited to: Acute Inpatient, Observation/Rehabilitation/Psychiatric/SNF; Ambulance and Ambulatory Surgery; Wound Care, Emergency Department, Ancillary (Diagnostic) / Recurring; Interventional Radiology; Hospital Clinic.
• Review and analyze clinical records to ensure that MSDRG/APC assignments accurately reflect the diagnoses/procedures documented in the clinical record.
• Abstract clinical data from the record after documentation review to ensure that it is adequate and appropriate to support diagnoses, procedures and discharge disposition is selected.
• Complete assigned work functions utilizing appropriate resources.
• May act as a resource with client staff for data integrity, clarification and assistance in understanding and determining appropriate and compliant coding practices including provider queries.
• Maintain strict patient and provider confidentiality in compliance with HIPPA.
• Performs other related duties as assigned or requested.

Inpatient Coder – Facility

• Assigns either ICD-10-CM and PCS codes for inpatient visits or assigns ICD-10 CM codes, professional and technical EM levels, and surgical CPT codes for physician visits at commercially reasonable production rates and at a consistent 95% or greater quality level.
• Validates either MS-DRG or APC assignments, as applicable.
• Abstracts clinical data appropriately.
• Mitigates either hospital inpatient coding-related claims scrubber edits or professional and technical coding-related claims scrubber edits.
• Tolerates short-term assignments for up to two different clients.
• Participates in client and Savista meetings and training sessions as instructed by management.
• Maintains an ongoing current working knowledge of the coding convention in play at client assignments.
• Performs other related duties as required.

Inpatient Coding Specialist

• Review clinical documentation to assign and sequence diagnostic and procedural codes for specific patient types to meet the requirements of hospital data or physician data retrieval for billing and reimbursement.
• Validate APC calculations to accurately capture the diagnoses/procedures documented in the clinical record for hospitals.
• Perform documentation review and assessment for accurate abstracting of clinical data to meet regulatory and compliance requirements.
• Interact with client staff and providers.
• Select and sequence ICD-10, and/or CPT/HCPCS codes for designated patient types which may include but not limited to: Ancillary (Diagnostic)/ Recurring; Hospital, Clinic; Physician Pro Fee; Technical Fee or Evaluation and Management.
• Review and analyze facility records to ensure that APC assignments and/or Evaluation and Management codes accurately reflect the diagnoses/procedures documented in the clinical record.
• Abstract clinical data from the record after documentation review to ensure that it is adequate and appropriate to support diagnoses, procedures and discharge disposition is selected.
• Complete assigned work functions utilizing appropriate resources.
• May act as a resource with client staff for data integrity, clarification and assistance in understanding and determining appropriate and compliant coding practices including provider queries.
• Maintain strict patient and provider confidentiality in compliance with all HIPAA Guidelines.
• Participate in client and Savista staff meetings, trainings, and conference calls as requested and/or required.
• Maintain current working knowledge of ICD-10 and/or CPT/HCPCS and coding guidelines, government regulations, protocols and third-party requirements regarding coding and/or billing.
• Participate in continuing education activities to enhance knowledge, skills, and maintain current credentials.

Multispeciality Profee Coder

Bilingual

• Schedule patient appointments for financial assistance.
• Check-in patients upon arrival and ensure all required documentation is available for processing while covering onsite.
• Answer incoming calls, respond to voicemails, and provide guidance on next steps.
• Assist patients by providing requested documents and materials.
• Meet productivity and quality expectations.
• Utilize multiple systems and databases to gather, track, and report patient information.
• Communicate updates to Eligibility Specialists on scheduling and patient workflow.
• Process incoming and outgoing mail.
• Complete special projects, as assigned.

Eligibility Service Coordinator, Bilingual Required

Consultant

• Performs inpatient coding audits for facility reporting
• Has a working knowledge of reimbursement systems (MS-DRG, APR-DRG, IPPPS, APC, RBRVS)
• Performs educational services to clients, coders and/or providers based on audit results
• Analyzes audit results identifying patterns, trends, and key problematic areas
• Utilizes a mini desktop computer in a virtual office, windows-based environment
• Maintains strict patient and physician confidentiality and follows all federal, state and hospital guidelines

Senior Auditing Consultant – Inpatient

Financial Planning and Analysis

• Processes administrative and financial components of financial clearance including validation of insurance/benefits, medical necessity validation, routine and complex pre-certification, prior-authorization, scheduling/pre-registration, patient benefit and cost estimates, as well as pre-collection of out-of-pocket cost share and financial assistance referrals.
• Utilizes third party payer websites, real-time eligibility tools, and telephone to retrieve coverage eligibility, authorization requirements and benefit information, including copays and deductibles.
• Pre-registers patients by obtaining demographic and insurance information for registration, insurance verification, authorization, referrals, and bill processing.
• Develops and maintains a working rapport with inter-departmental personnel including ancillary departments, physician offices, and financial services.
• Assists Medicare patients with the Lifetime Reserve process where applicable.
• Reviews previous day admissions to ensure payer notification upon observation or admission.
• Answer incoming patient or client call/email requests and handle in a prompt/kind, courteous and professional manner.
• Communicate effectively with patient by simplifying complex information.

Financial Clearance Specialist II, Oncology

• Utilize various hospital/physician systems to verify patient, billing and claim information for accuracy
• Perform compliant primary/secondary, tertiary and rebill billing functions which can include electronic, paper and portal submission to payers.
• Edit claims to meet and satisfy billing compliance guidelines for electronic and hardcopy submission.
• Respond timely to emails and telephone messages as appropriate.
• Communicate issues to management, including payer, system or escalated account issues.
• Participate and attend meetings as requested, training seminars and in-services to develop job knowledge.
• Serve and protect the hospital community by adhering to professional standards, hospital policies and procedures, federal, state, and local requirements, and JCAHO standards.
• Enhance billing department and hospital reputation by accepting ownership for accomplishing new and different requests; exploring opportunities to add value to job accomplishments.
• Update patient demographics/insurance information in appropriate systems - Monitor claims for missing information, authorization, and control numbers (ICN//DCN)
• Follow guidelines for prioritization, timely filing deadlines, and notation protocols within appropriate systems.
• Secure needed medical documentation required or requested by third party insurance carriers.
• Maintain and respect the confidentiality of patient information in accordance with insurance collection guidelines and corporate policy and procedure.
• Perform other related duties as required.

Billing Specialist I – PB Medical Billing

• Resolve patient healthcare accounts by negotiating payment with patients/guarantors
• Complete daily account related functions efficiently and on time to accelerate patient-to-payment process
• Answer incoming patient or client call/email requests and handle in a prompt, courteous and professional manner
• Maintain a 96% quality score through superior customer service and accurate documentation of customer encounters

Customer Service Representative, Medical Self Pay

Accounts Receivable

• 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).
• Research 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 Compliance Program by adhering to policies and procedures pertaining to HIPAA, FDCPA, FCRA, and other laws applicable to Savista business practices. This includes becoming familiar with Savista's Code of Ethics, attending training as required, notifying management or Savista Helpline when there is a compliance concern or incident, HIPAA-compliant handling of patient information, and demonstrable awareness of confidentiality obligations.

Accounts Receivable Specialist

• Assist with ad hoc Financial Planning & Analysis (FP&A) projects and reporting
• Support Accounts Receivable (AR) and collections activities
• Assist with daily cash application processes and reconciliation activities
• Support client billing functions and related financial documentation
• Assist with contract activation processes and tracking
• Provide ad hoc support for finance-related system integrations and process improvements
• Assist with position management clean-up activities in Workday to ensure alignment with budgeted headcount
• Compile, organize, and analyze financial data for leadership review
• Maintain accurate records, reports, and documentation
• Collaborate cross-functionally with Finance, Operations, HR, and other internal teams
• Perform additional administrative and finance-related duties as assigned

Finance Intern

• Performs inpatient coding audits for facility reporting
• Has a working knowledge of reimbursement systems (MS-DRG, APR-DRG, IPPPS, APC, RBRVS)
• Performs educational services to clients, coders and/or providers based on audit results
• Analyzes audit results identifying patterns, trends, and key problematic areas with the ability to communicate specific opportunities for coder improvement initiatives
• Maintains strict patient and physician confidentiality and follows all federal, state and hospital guidelines for release of information