Underpayment Auditor

April 8

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Savista

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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.

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

1001 - 5000 employees

Founded 1994

⚕️ Healthcare Insurance

📋 Description

• Responsible for reviewing claims and payment information through underpayment identification systems. • Identify potential underpayments and underpayment trends. • Analyze and screen identified potential underpayments. • Review historical payment information and determine the accuracy of reimbursements. • Review managed care contracts to determine appropriate application of rates, provisions and terms. • Investigate payor policies and contracts to verify accuracy of underpayment variances. • Communicate well both verbally and in writing, build strong relationships, and handle constructive criticism. • Provide management and colleagues with feedback on client inventory analysis and payer trends.

🎯 Requirements

• High school diploma or GED. • At least two years of experience working with managed care reimbursement. • Proven capability utilizing ICD-9 and ICD-10, CPT Coding, revenue codes, UB and 1500 billing formats to conduct A/R activities. • Strong analytical acumen. • Self-motivated and independent. • Ability to train and mentor team members. • Excellent oral and written communication skills. • Demonstrated ability to navigate Internet Explorer and Microsoft Office, including the ability to input and sort data, filter cells, and use basic formulas in Microsoft Excel and use company email and calendar tools. • Demonstrated success working both individually and in a team environment. • Ability to work effectively with cross-functional teams to achieve goals. • Demonstrated ability to meet performance objectives.