Accounts Receivable Specialist II

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 Accounts Receivable Specialist II 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). Researches 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 sys