Job Closed
This listing is no longer active.
Savista is on a mission to help clients in healthcare navigate challenges by delivering revenue cycle management solutions. As an employer, the company strives
Accounts Receivable Specialist 2
Location
United States
Posted
76 days ago
Salary
$19 - $22 / hour
Seniority
Mid Level
No structured requirement data.
Job Description
Accounts Receivable Specialist 2
Savista
Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE). The Medical Insurance Accounts Receivable Specialist is responsible for ensuring the timely collection of outstanding government or commercial healthcare insurance receivables. Responsibilities: - Verifies or obtains patient eligibility and/or authorization for healthcare services performed by searching payer web sites or client eligibility systems, or by conducting phone conversations with the insurance carrier or healthcare providers. - Updates patient demographics and/or insurance information in appropriate systems. - Conducts research and appropriately statuses unpaid or denied claims. - Monitors claims for missing information, authorization, and control numbers (ICN//DCN). - Research EOBs for payments or adjustments to resolve claims. - Contacts payers by phone or through written correspondence to secure payment of claims. - Accesses client systems for information regarding received payments, open claims and other data necessary to resolve claims. - Follows guidelines for prioritization, timely filing deadlines, and notation protocols within appropriate systems. - Secures medical documentation as required or requested by third party insurance carriers. - Obtains billing guidelines and requirements by researching provider billing manuals. - Writes appeal letters for technical appeals. - Verifies accuracy of underpayments by researching contracts and claims data. - In the event of an authorization, coding, level of care and/or length of stay denial, prepares claims for clinical audit processing. - Supports Savista Compliance Program by adhering to policies and procedures pertaining to HIPAA, FDCPA, FCRA, and other laws applicable to Savista business practices. This includes becoming familiar with Savista's Code of Ethics, attending training as required, notifying management or Savista Helpline when there is a compliance concern or incident, HIPAA-compliant handling of patient information, and demonstrable awareness of confidentiality obligations. Requirements: - High school diploma or GED. - At least three years of experience in healthcare insurance accounts receivable follow up, working with or for ahospital/hospital system, working directlywith government or commercial insurance payers. - Experience identifying billing errors and resubmitting claims as well as following up on payment errors, low reimbursement and denials. - Experience reviewing EOB and 1500 forms to conduct A/R activities. - Knowledge of accounts receivable practices, medical business office procedures, coordination of benefit rules and denial overturns and third-party payer billing and reimbursement procedures and practices. - At least three years of experience with accounts receivable software. - Experience navigating payer sites for appeals/reconsiderations, benefits verification and online claims follow up with Medicare and Medicaid insurance background - Demonstrated ability to navigate Internet Explorer and Microsoft Office, including the ability to input and sort data in Microsoft Excel and use company email and calendar tools. - Demonstrated experience communicating effectively with payers, understanding complex information and accurately documenting the encounter. - Ability to work effectively with cross-functional teams to achieve goals. - Demonstrated ability to meet performance objectives. - Productivity requirements are 55 claims per date/275 claims per week. Preferred Skills: - Experience with Epic - Required - Experience with both hospital (facility) and physician (pro-fee) A/R. Note: Savista is required by state specific laws to include the salary range for this role when hiring a resident in applicable locations. The salary range for this role is from $19.00 to $22.00. However, specific compensation for the role will vary within the above range based on many factors including but not limited to geographic location, candidate experience, applicable certifications, and skills 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. California Job Candidate Notice
Related Guides
Related Categories
Related Job Pages
More Accounts Receivable Jobs
Team Lead, Accounts Receivable Services (Remote)
Med-MetrixMed-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.
Job Purpose The Team Lead, Accounts Receivable Services supports the management team with the coordination of activities and operations of Accounts Receivable department. Duties and Responsibilities - Assist global team members by answering questions and providing support for their ongoing success - Provide initial training on the client host system - Assist in tracking productivity and quality of Accounts Receivable Representatives - Identify areas of opportunity for improvement through one on one evaluation of Accounts Receivable team - Follow-up with payers to ensure timely resolution of all outstanding claims, via phone, emails, fax or websites - Meets and maintains daily productivity/quality standards established in departmental policies and supports training needs identified to ensure teams success in this area - Meets and maintains quality standards established in departmental policies and supports training needs identified to ensure the teams success in this area - Uses the workflow system, client host system and other tools available to them to collect payments and resolve accounts - Adheres to the policies and procedures established for the client/team - Knowledge of timely filing deadlines for each designated payer - Initiate appeals when necessary - Identify and correct medical billing errors - Send appropriate appeals, accurate requesting information, supporting documentation, and effective communication to complete recovery process - Ability to analyze, identify and resolve issues causing payer payment delays - Ability to analyze, identify and trend claims issues to proactively reduce denials - Understanding of under payments and credit balance process - Perform special projects and other duties as needed - Act cooperatively and courteously with patients, visitors, co-workers, management and clients - Other duties as assigned by the management team - Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards - Understand and comply with Information Security and HIPAA policies and procedures at all times - Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties Qualifications - High School diploma or equivalent required - Experience in insurance collections, including submitting and following up on claims for a Medical Practice, Medical Facility/Medical Billing Company, Ambulatory Surgical Center, and/or Hospital required - Experience with training new users required - Knowledge of the denied claims and appeals process required - Experience with practice management systems. EPIC PB, Allscripts and/or Cerner preferred - Extensive knowledge of individual payor websites, including Navinet and Novitasphere - Knowledge of Medical Terminology, CPT Codes, Modifiers and Diagnosis Codes - Ability to work well individually and in a team environment - Proficiency with MS Office. Must have basic Excel skillset. - Strong communication skills/oral and written - Strong organizational skills - Work independently from assigned work queues - Maintain confidentiality at all times - Maintain a professional attitude - Proficiency in Microsoft Office Suite - Strong interpersonal skills, ability to communicate well at all levels of the organization - Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses - High level of integrity and dependability with a strong sense of urgency and results oriented - Excellent written and verbal communication skills required - Gracious and welcoming personality for customer service interaction Working Conditions - Must possess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and security purposes. - Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear. - Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress. - Work Environment: The noise level in the work environment is usually minimal. Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.
Role Description We are looking for a reliable and detail oriented Accounts Payable / Accounts Receivable Clerk to support our accounting operations. This role is responsible for managing day-to-day AP and AR functions, ensuring accurate processing of transactions, and maintaining organized financial records. This is a fully remote position with a consistent workflow and clear expectations. Key Responsibilities - Process vendor invoices and ensure timely, accurate payments - Generate client invoices and monitor accounts receivable balances - Follow up on outstanding invoices and assist with collections as needed - Reconcile vendor statements and resolve discrepancies - Maintain accurate records of all transactions in the accounting system - Assist with journal entries and support general ledger accuracy - Communicate with vendors and internal team members regarding billing or payment inquiries - Support month end closing activities related to AP and AR Qualifications - 1–3 years of experience in accounts payable and/or accounts receivable - Basic understanding of accounting principles and general ledger processes - Experience with accounting software and Microsoft Excel - Strong attention to detail and organizational skills - Ability to manage multiple tasks and meet deadlines - Clear and professional communication skills - Comfortable working independently in a remote environment Remote Work Requirements - Reliable high speed internet connection - Dedicated workspace for focused work - Ability to communicate effectively via email, phone, and video meetings - Standard home office setup (computer, dual monitors preferred) Benefits - Competitive hourly compensation - 401(k) with company matching - Health, dental, and vision insurance - Paid time off - Fully remote work environment - Opportunity to grow within a professional accounting firm Apply If you are organized, dependable, and looking to build your accounting experience in a professional services environment, we encourage you to apply.
Accounts Receivable Specialist (REMOTE)
CommUnityCare Health CentersCommUnityCare Health Centers is a healthcare organization committed to strengthening the health and well-being of the communities it serves, offering a range of health services tha
Overview Reporting to the Accounts Receivable Supervisor, this role supports the operations of the CommunityCare Revenue Cycle Management (RCM) team related to the follow up and resolution of outstanding insurance claims. Goal of the position is to follow up on, investigate and resolve claims that have been submitted to insurance for payment and to create detailed notes that provide insight into the current status of the individual claims. Responsibilities Essential Functions: - Contact insurance carriers on a daily basis to follow up on/collect past due amounts on outstanding medical claims regarding denials or benefit changes. - Maintain an accurate, up to date aging of assigned accounts including AR analysis and follow up. - Keep educated on billing and medical policies for all payers. - Have a working knowledge of In and Out of Network reimbursement processes/methodologies. - Create and follow up on appeals needed to protest denials or incorrect payments. - Review complex denials/tasks assigned by the payment posting team and resolve accordingly including reviewing refund requests, disputes and appeal as necessary. - Work across all RCM departments to get issues related to claims payment resolved. - Uphold and ensure compliance and attention to all company policies and procedures as well as the overall mission and values of the organization. - Work with AR Supervisor to review/resolve open accounts as assigned. - Perform other duties as assigned. Knowledge, Skills and Abilities: - High level of skill at building relationships and providing excellent customer service. - Ability to utilize computers for data entry, research and information retrieval. - Strong attention to detail and accuracy and multitasking. - Must have highly developed problem-solving skills. - Executes excellent customer service and professionalism when interacting with staff, payers, patients and families to ensure all are treated with kindness and respect. - Through leadership and by example, ensures that services are provided in accordance with state and federal regulations, organizational policy, and accreditation/compliance requirements. - Acts in accordance with CommUnityCare’s mission and values, while serving as a role model for ethical behavior. - Promptly identify issues and reports them to their direct supervisor. - Maintain regular and predictable attendance. - Acts in accordance with CommunityCare's mission and values, while serving as a role model for ethical behavior - Manage high volumes of work and organize/maintain a schedule independently. - Must be able to effectively monitor steps in claims processing operations. Qualifications Minimum Education: - High School Diploma or GED Minimum Experience: - 3 years of experience managing Accounts Receivable and performing direct follow up with payers. - 1 year experience communicating effectively, both orally and in writing, with insurance payers and internal company communications. - 3 years working with medical terminology, ICD10, CPT, HCPCs coding and HIPAA requirements. - 2 years of experience with data processing and analytical skills, proficiency in Excel and Microsoft Office Suite as well as medical practice management software and electronic medical records. - 3 years of experience working with commercial, government and state insurance payers and their reimbursement policies and procedures. - 3 years' experience working complex insurance issues, including assigning correct payer, EOB adjustments and refunds to accounts.
Title: Accounts Receivable Specialist Location: New York, NY Job Description: Full-time , Hybrid The Accounts Receivable Specialist is responsible for managing and resolving outstanding accounts receivable for Mountainside Treatment Center. This position involves proactive follow-up on unpaid claims, working closely with insurance companies, and ensuring timely collections. The ideal candidate will possess strong communication skills, attention to detail, and the ability to handle sensitive financial information. Schedule: Monday - Friday: 8:30 am - 5:00 pm Your Role: - Collections Management: - Review and analyze client accounts to identify outstanding balances - Initiate contact with insurance companies and clients to resolve unpaid claims. - Utilize various communication methods, including phone calls, emails, and letters to follow up on outstanding balances. - Claims Resolution: - Investigate and resolve insurance claim denials and discrepancies. - Require resubmission of corrected claims as needed and ensure proper documentation. - Collaborate with billing to address any billing errors or issues. - Record Keeping: - Maintain accurate and up-to-date records of all collection's activities and communications. - Update clients account information as necessary. - Keep a list of accounts that require management assistance and bring this up during weekly check ins - Customer Service: - Provide exceptional customer service to clients and their families regarding billing and payment inquiries. - Address and resolve clients concerns and questions in a professional and empathetic manner. - Compliance: - Adhere to all relevant laws, regulations, and company policies regarding client confidentiality and billing practices. - Stay informed about changes in insurance policies and regulations effecting collections. Qualifications: - High School diploma or equivalent required. Associate's or Bachelor's degree preferred - Minimum 3 years experience in Accounts Receivable required - Knowledge of medical terminology, insurance terminology, and billing procedures in a healthcare setting preferred - Knowledge of billing regulations and compliance requirements preferred - Excellent communication and interpersonal skills, with the ability to interact with clients, families, and healthcare professionals in a courteous and professional manner. Compensation: The base rate of pay for this position is $22.00 to $26.00 per hour. Actual pay is determined based on a number of job-related factors including skills, education, training, credentials, experience, scope and complexity of role responsibilities, geographic location, performance, and working conditions. Benefits: - Comprehensive benefit package - Paid Time Off (which increases after 1 year with Mountainside) - Paid holidays including a Multicultural Holiday - 401(k) with employer matching - Monthly $75.00 wellness reimbursement. Our Wellness Reimbursement benefit is meant to encourage employees to engage in productive self-care to avoid burnout and compassion fatigue. About Mountainside: Mountainside Treatment Center is a dynamic, fast-paced and growing recovery facility that values innovation and an obsession with providing Best in Class service to our Clients. Founded in 1998, we are a leading behavioral healthcare provider dedicated to treating alcohol dependency and drug addiction. Accredited by The Joint Commission and CARF for its high standards of care, Mountainside seeks out passionate and talented individuals to join its staff. We believe that every employee, regardless of position, plays a vital role in our success. Here at Mountainside Treatment Center, we strongly prefer all employees to be fully vaccinated for Covid-19 (including regularly scheduled boosters) and the Flu as recommended by the CDC. Mountainside is an equal opportunity/affirmative action employer and strongly encourages the applications of women, minorities, and persons with disabilities. Salary Description $22-$26
