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). Essential Duties & 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 and/or written correspondence to secure payment of claims; reconsideration and appeal submission. Adhere to state and federal claim and appeal guidelines. Access client systems for payment, patient, claim and data info Follow 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 Understand, follow, and maintain productivity and performance based role expectations Perform other related duties as required Minimum Requirements & Competencies 2-3 years of medical collections, denials and appeals experience Experience with all but not limited to the following denials and appeals- DRG downgrades, level of care, coding, medical necessity, experimental, bundling, noncovered, and no authorization. Intermediate knowledge of ICD-10, CPT, HCPCS and NCCI Intermediate knowledge of third-party billing guidelines Intermediate knowledge of billing claim forms (UB04/1500) Intermediate knowledge of payor contracts- commercial and government Intermediate Working Knowledge of Microsoft Word and Excel Intermediate knowledge of health information systems (i.e. EMR, Claim Scrubbers, Patient Accounting Systems, etc.) Preferred Requirements & Competencies Intermediate knowledge of one or more of the following Patient accounting systems: EPIC, Collections Management, Cerner, STAR, Meditech, CPSI, Invision, PBAR, All Scripts or Paragon Intermediate knowledge of DDE Medicare claim system Intermediate knowledge of government rules and regulations 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 $20.00 to $23.00. 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. 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 The Savista experience is the combination of everything that’s unique about our culture, our core values, our commitment to success, but most importantly, it’s our people. Our colleagues are problem-solvers, flexible and agile trusted partners who believe in a culture based on service. They make choices according to what is best for the team, they live for opportunities to collaborate and make a difference, and they make us a Certified Great Place to Work 4 years in a row! It has come to our attention that there have been some bad actors using our company name to solicit personal information as part of a fraudulent hiring scam. Unfortunately, this is out of our control, but we want to make it clear that this behavior is unacceptable. All of our open roles are posted on our careers page. Should you apply for a role and be contacted by an employee of Savista, all of our interviews will be scheduled by someone with an @savistarcm.com email address and conducted over video call or in-person. We never ask you to provide personal information through other means, such as Telegram or social media platforms, as part of our interview or onboarding process. Make sure to double check our website address; there is no period in our domain name other than ".com". Savista does not and will not ask you to share any personally identifiable information (such as bank account details, SSN, etc) by any other means than a secure platform. We recommend you do not share any sensitive information over the phone or email. If you are offered a position, Savista does not and will not ask for payment to ship equipment. Fraudulent hiring scams often also ask for financial information and may ask for “advances.” Savista does not ask for any financial commitment at any stage of the recruitment process. We have reported and flagged these job scams when we’ve seen them. We also encourage you to contact your state attorney general’s office to report any potential scams and also recommend you contact any recruiting website and/or social media platform that may have been involved as well to notify them. Savista has no responsibility for fraudulent offers and advises job candidates to follow the guidance provided. California Job Candidate Notice

AR Specialist 2, Complex Clinical Denials.

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