• Research root issue of denial. • Pursue proper course of appeal or follow up to obtain payment. • Review account history for continuous follow up. • Address incoming correspondence. • Prepare correspondence to insurance companies, patient and/or guarantor, as necessary. • Contact insurance companies/patient/guarantor to obtain status of outstanding claims and submitted appeals. • Document claim issue for review. • Escalate issues and problems to Supervisor as appropriate. • Performs charge corrections. • Perform demographic and insurance coverage updates on account and bill new insurance as appropriate. • Perform other job duties as required.

Role Description The Manager, Accounts Receivable Services is responsible for monitoring and overseeing the daily activities of their AR team including AR management, staff training and maintaining the client relationship. - Monitors client inventory and ensures that accounts are worked timely and accurately and collection goals are met. - Monitors and coordinates follow-up activities to ensure work assignments are equitable. - Ensures that their team meets established quality and productivity standards and that necessary steps are taken to address those not meeting the standards. - Ensures that their supervisors are performing timely and accurate productivity and quality monitoring according to the department’s established policies. - Ensures that client-specific policies and procedures are documented and followed by the team. - Monitors client AR and proactively takes action to address any areas that are below acceptable standards. - Provides assistance/resolution to external and internal client inquiries. - Prepares and maintains reports or logs as required. - Assists with the preparation of monthly client reporting. - Regularly monitors Smartfeed assignments in the MPower Workflow system and ensures that accounts are appropriately assigned to Smartfeeds. - Ensures that any issues identified are brought to the attention of the Director or Vice President as well as Customer Support. - Reviews contract pricing where applicable and ensures that any issues identified are brought to the attention of the director and the contract management team. - Maintains a current working knowledge of all healthcare-related issues and regulations. - Identifies issues and works with the Vice President to get them resolved. - Provides training, monitoring and feedback as well as disciplinary action as necessary. - Maintains a professional attitude. - Maintains confidentiality at all times. - Monitors team attendance and PTO usage. - Other duties as assigned by their management team. - Responsible for ensuring that remote client access is disabled for terminated or transferred employees when applicable in a timely fashion. - Understands and complies with Information Security and HIPAA policies and procedures at all times and ensures all direct reports are trained and in compliance with said policies and procedures at all times. - Uses, protects and discloses patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards and enforces such for all direct reports. - Limits viewing of PHI to the absolute minimum as necessary to perform assigned duties for your respective team. - Reports any security or HIPAA violations or concerns for your team to the HIPAA Officers in a timely fashion. Qualifications - Bachelor’s degree or equivalent combination of education and experience. - 5+ years’ experience in a physician business office setting or similar setting. - Ability to work well individually and in a team environment. - Must be reliable, responsible, goal-oriented and flexible. - Excellent interpersonal, communication and organizational skills. - Proficiency with MS Office. - Previous supervisory experience. - Strong organizational skills. - Strong verbal and written skills in order to effectively communicate with patients, co-workers, insurance companies, hospital staff, and clients. Work Environment - Must possess a smartphone or electronic device capable of downloading applications, for multifactor authentication and security purposes. - Occasional travel to our Med-Metrix locations and client sites. - 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.

Role Description The Analyst, 3PL Accounts Receivable will play a key role in driving process improvements, improving cash flow for our clients, and ensuring accuracy and integrity of receivables data. The Accounts Receivable Analyst holds responsibility for invoicing review, reconciling accounts, and contributing to overall financial accuracy on behalf of CareTria 3PL clients. This role requires strong analytical skills, deep knowledge of AR best practices, and the ability to work cross-functionally with internal teams and external partners. Remote opportunity supporting our 3PL Business Needs. Responsibilities - Lead the analysis, validation, and timely processing of customer invoices for Order-to-Cash clients, ensuring accuracy, compliance, and adherence to service-level expectations. - Own and execute credit and collections strategies, pro-actively monitoring customer accounts to identify, assess, and mitigate risks related to non-payment, delayed payment, and credit exposure. - Oversee and analyze Accounts Receivable aging, ensuring compliance with established policies, identifying trends, and recommending corrective actions to improve cash flow and reduce DSO. - Drive collection efforts on past-due accounts by partnering directly with customers to resolve payment disputes, negotiate resolutions, and ensure timely receipt of funds. - Prepare, analyze, and deliver recurring and ad hoc financial statements and management reports, providing clear insights to leadership and stakeholders to support business decisions. - Investigate, resolve, and document complex accounts receivable discrepancies, escalations, and inquiries, ensuring accurate financial records and customer satisfaction. - Contribute to broader financial management and analysis initiatives, including trend analysis, forecasting support, and performance reporting related to receivables. - Ensure ongoing compliance with internal controls, company policies, and external regulatory and audit requirements, pro-actively addressing gaps or risks. - Play a key role in month-end close activities, including account reconciliations, variance analysis, and preparation of supporting documentation. - Serve as a primary point of support for internal and external audits related to Accounts Receivable, ensuring timely, accurate, and well-documented responses. - Identify, recommend, and assist in implementing process improvements and efficiencies within the Accounts Receivable function to enhance accuracy, scalability, and operational effectiveness. Qualifications - Bachelor’s degree in accounting, finance, or related field (preferred) or equivalent combination of education and experience. - Proficiency in accounting software (e.g., Oracle, Net-Suite, Quick-books, D365). - Excellent communication and interpersonal skills with internal and external customers. - Two years of previous accounts receivable experience preferred. - Two years of experience providing customer service to internal and external parties. - Proficiency in Microsoft Excel. Requirements - Familiarity with GAAP accounting principles. - Demonstrates strong data and information analysis. - Strong experience providing customer service to internal and external parties. - Knowledge of CRM and cloud-based software is preferred. - Strong time management, organizational skills, initiative, professional demeanor, and positive attitude. - Ability to work independently and meet timelines. - Ability to promote a positive team environment. Benefits - Access to health, dental, and vision insurance. - Retirement plan options. - Paid time off. - Paid parental leave. - Employee assistance programs. - Other perks. - Eligible employees may also have access to performance bonuses.

• 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.