AR Specialist, Complex Denials
Savista
Invision
Salary
💰 $17 - $19 per year
Job Level
Junior
Tech Stack
Invision
About the role
- Verify/obtain eligibility and/or authorization utilizing payer web sites, client eligibility systems or via phone with the insurance carrier/providers
- Update patient demographics/insurance information in appropriate systems - Research/ Status unpaid or denied claims
- Monitor claims for missing information, authorization and control numbers(ICN//DCN)
- Research EOBs for payments or adjustments to resolve claim
- Contacts payers via phone or written correspondence to secure payment of claims
- Access client systems for payment, patient, claim and data info
- Follows 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
Requirements
- 1-2 years of medical collections/billing experience
- Basic knowledge of ICD-10, CPT, HCPCS and NCCI
- Basic knowledge of third party billing guidelines
- Basic knowledge of billing claim forms(UB04/1500)
- Basic knowledge of payor contracts
- Working Knowledge of Microsoft Word and Excel
- Basic working knowledge of health information systems (i.e. EMR, Claim Scrubbers, Patient Accounting Systems, etc.)
- 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
