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Accounts Receivable Specialist II
SavistaRemote Accounts Receivable Specialist II resolving healthcare claims for Savista's revenue-cycle services. Researching denials, payments, underpayments, and payer requirements to improve client financial results.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in healthcare insurance accounts receivable processes, including claims verification, billing practices, and compliance with regulations such as HIPAA. Proficient in utilizing accounts receivable software and effectively communicating with payers to resolve claims issues.
Highest-signal resume keywords
Healthcare Insurance Accounts ReceivableClaims VerificationEOB ReviewAccounts Receivable SoftwareHIPAA Compliance
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims Follow-UpBilling Error IdentificationData Input and SortingMedical Documentation RetrievalTechnical Appeals WritingDenial OverturnsPayer Site NavigationCoordination of Benefit RulesPerformance Objective AchievementProductivity Management
Soft Skills
Effective CommunicationCross-Functional Team CollaborationProblem-Solving
Tools & Technologies
EpicMeditechCernerInvisionParagonSoarianCollections ManagementSTARMicrosoft OfficeInternet Explorer
Certifications & Qualifications
High School DiplomaGED
Industry Keywords
Healthcare ServicesInsurance PayersAccounts Receivable PracticesThird-Party Payer BillingClinical Audit Processing
Tech Stack
Tools & technologiesInvision
About the role
Key responsibilities & impact- Verify or obtain patient eligibility and authorization for healthcare services
- Update patient demographics and insurance information in appropriate systems
- Research and status unpaid or denied claims
- Monitor claims for missing information, authorization, and control numbers
- Research EOBs for payments or adjustments to resolve claims
- Contact payers by phone or written correspondence to secure claim payments
- Access client systems for received payments, open claims, and related information
- Follow prioritization guidelines, timely filing deadlines, and notation protocols
- Secure medical documentation requested by third-party insurance carriers
- Research provider billing manuals for billing guidelines and requirements
- Write appeal letters for technical appeals
- Verify underpayments by researching contracts and claims data
- Prepare denied claims for clinical audit processing
- Support Savista's Compliance Program and adhere to HIPAA, FDCPA, FCRA, and other applicable laws
Requirements
What you’ll need- High school diploma or GED
- At least two years of experience in healthcare insurance accounts receivable follow-up
- Experience working with or for a hospital or hospital system
- Experience working directly with government or commercial insurance payers
- Experience identifying billing errors, resubmitting claims, and following up on payment errors, low reimbursement, and denials
- Experience reviewing EOB and UB-04 forms for accounts receivable activities
- Knowledge of accounts receivable practices and medical business office procedures
- Knowledge of coordination of benefit rules, denial overturns, and third-party payer billing and reimbursement procedures
- At least two years of experience with accounts receivable software
- Experience navigating payer sites for appeals/reconsiderations, benefits verification, and online claims follow-up
- Ability to navigate Internet Explorer and Microsoft Office
- Ability to input and sort data in Microsoft Excel
- Ability to use company email and calendar tools
- Demonstrated ability to communicate effectively with payers, understand complex information, and accurately document encounters
- Ability to work effectively with cross-functional teams
- Demonstrated ability to meet performance objectives
- Productivity requirement of 45 claims per day/225 claims per week
- Preferred: Experience with Epic, Meditech, Cerner, Invision, Paragon, Soarian, Collections Management, or STAR
- Preferred: Experience with a hospital or hospital system with more than 150 beds
- Preferred: Experience with both hospital facility and physician pro-fee accounts receivable
Benefits
Comp & perks- Remote work arrangement
- Certified Great Place to Work recognition
- Training as required
- Equal opportunity employment