Savista · 2 days ago

Accounts Receivable Specialist 2

United States

Full-time

Remote

Entry Level

1+ years exp

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Responsibilities

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

Qualification

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Medical Collections/BillingICD-10CPTHCPCSNCCIThird Party Billing GuidelinesBilling Claim FormsPayor ContractsHealth Information SystemsMicrosoft WordMicrosoft ExcelEPICCernerSTARMeditechNextgenCPSIInvisionPBARAll ScriptsParagonDDE Medicare Claim SystemGovernment Rules

Required

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.)

Preferred

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

Working knowledge of DDE Medicare claim system

Knowledge of government rules and regulations