AR Specialist 2, Complex Clinical Denials

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 proced