Account Receivable Specialist II

Savista

Medical Insurance Accounts Receivable Specialist ensuring timely collection of healthcare receivables. Responsibilities include verifying patient eligibility and conducting claims management in a remote role.

Posted 5/1/2026full-timeRemote • 🇺🇸 United StatesMid-LevelSenior💰 $20 - $23 per hourWebsite

About the role

Key responsibilities & impact

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.

Requirements

What you’ll need

High school diploma or GED.
At least three years of experience in healthcare insurance accounts receivable follow up, working with or for a hospital/hospital system, working directly with government or commercial insurance payers.
Experience identifying billing errors and resubmitting claims as well as following up on payment errors, low reimbursement and denials.
Experience reviewing EOB and 1500 forms to conduct A/R activities.
Knowledge of accounts receivable practices, medical business office procedures, coordination of benefit rules and denial overturns and third-party payer billing and reimbursement procedures and practices.
At least three years of experience with accounts receivable software.
Experience navigating payer sites for appeals/reconsiderations, benefits verification and online claims follow up with Medicare and Medicaid insurance background.
Demonstrated ability to navigate Internet Explorer and Microsoft Office, including the ability to input and sort data in Microsoft Excel and use company email and calendar tools.
Demonstrated experience communicating effectively with payers, understanding complex information and accurately documenting the encounter.
Ability to work effectively with cross-functional teams to achieve goals.
Demonstrated ability to meet performance objectives.
Productivity requirements are 55 claims per day/275 claims per week.

Benefits

Comp & perks

🌐 Worldwide ❌ Jobs You've Hidden ⭐️ Saved Jobs ✅ Applied Jobs ✉️ Email Alerts 👤 Account Savista Website LinkedIn All Job Openings 1001 - 5000 employees Founded 1994 ⚕️ Healthcare Insurance Healthcare Insurance Savista is a full-service revenue cycle management provider with over 30 years of experience in the healthcare industry. They support healthcare organizations in improving financial outcomes by offering services such as AR management, denial management, clinical documentation integrity, eligibility & enrollment, and HIM outsourcing. Savista works as an extension of healthcare teams to optimize processes and increase efficiency to ensure compliance and drive patient-centered service quality. The company has garnered recognition and industry accolades for its effective and quality solutions. Account Receivable Specialist II 🔥 16 minutes ago 🇺🇸 United States – Remote 💵 $20 - $23 / hour ⏰ Full Time 🟡 Mid-level 🟠 Senior 💰 Accounts Receivable Apply Now Find Hiring Managers Customize resume for this job Report problem ☆ Save ☑️ Mark as applied ❌ Hide 📋 Description
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. 🎯 Requirements
High school diploma or GED.
At least three years of experience in healthcare insurance accounts receivable follow up, working with or for a hospital/hospital system, working directly with government or commercial insurance payers.
Experience identifying billing errors and resubmitting claims as well as following up on payment errors, low reimbursement and denials.
Experience reviewing EOB and 1500 forms to conduct A/R activities.
Knowledge of accounts receivable practices, medical business office procedures, coordination of benefit rules and denial overturns and third-party payer billing and reimbursement procedures and practices.
At least three years of experience with accounts receivable software.
Experience navigating payer sites for appeals/reconsiderations, benefits verification and online claims follow up with Medicare and Medicaid insurance background.
Demonstrated ability to navigate Internet Explorer and Microsoft Office, including the ability to input and sort data in Microsoft Excel and use company email and calendar tools.
Demonstrated experience communicating effectively with payers, understanding complex information and accurately documenting the encounter.
Ability to work effectively with cross-functional teams to achieve goals.
Demonstrated ability to meet performance objectives.
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Hard Skills & Tools

patient eligibility verificationclaims researchbilling error identificationEOB reviewaccounts receivable practicesthird-party payer billingclaims processingmedical documentation handlingappeal letter writingdenial management

Soft Skills

effective communicationcross-functional teamworkattention to detailproblem-solvingtime managementorganizational skillsadaptabilityconfidentiality awarenesscompliance adherenceperformance objective achievement

Certifications

high school diplomaGED