Complex Denials HB Accounts Receivable 2

About the role

Savista partners with healthcare providers to improve their financial strength by implementing integrated spend management and revenue cycle solutions that help control cost, improve margins and cash flow, increase regulatory compliance, and optimize operational efficiency.

Responsibilities

• Verify/obtain eligibility and/or authorization utilizing payer websites, 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
• Contact payers via phone or written correspondence to secure payment of claims; reconsideration and appeal submission
• Access client systems for payment, patient, claim and data info
• Follows guidelines for prioritization, timely filing deadlines, and notation protocols within appropriate systems
• Achieve security and confidentiality of patient information in accordance with insurance collection guidelines and corporate policy and procedure

Requirements

• 2-3 years of medical collections, complex denials and appeals 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 (commercial and government)
• Intermediate working knowledge of Microsoft Word and Excel
• Intermediate knowledge of health information systems (i.e. EMR, Claim Scrubbers, Patient Accounting Systems, etc.)

Preferred Requirements

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

Qualifications

Minimum Requirements:

• 2-3 years of medical collections, complex denials and appeals 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 (commercial and government)
• Intermediate working knowledge of Microsoft Word and Excel
• Intermediate knowledge of health information systems (i.e. EMR, Claim Scrubbers, Patient Accounting Systems, etc.)

Skills

Intermediate knowledge of one or more of the following Patient accounting systems - EPIC, Cerner, STAR, Meditech, CPSI, Invision, PBAR, All Scripts or Paragon

Intermediate knowledge of DDE Medicare claim system

Intermediate knowledge of government rules and regulations

Benefits

N/A

Pay

$20.00 to $23.00 per hour

Schedule

N/A

Benefits

N/A

Company Information

Savista is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, age, veteran status, disability, national origin, sex, sexual orientation, religion, gender identity or any other federal, state or local protected class.