Accounts Receivable Specialist

September 15

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Savista

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Revenue Cycle Management • HIM • Patient Engagement • Revenue Integrity • Accounts Receivable Management

1001 - 5000

Description

• 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.)