AR Specialist 3
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Job Description
Remote AR Specialist collecting healthcare hospital balances and resolving insurance claims for Savista. Mentoring patient account representatives and supporting revenue cycle improvement for healthcare clients.
Responsibilities:
- Assist patients with financial aspects of hospital services and collect outstanding balances
- Mentor existing and newly hired patient account representatives
- Act as supervisor in the supervisor’s absence
- Assist supervisor with coordination and follow-up of claims from billing through final resolution
- Review and prepare claims for manual and/or electronic billing submission
- Identify billing errors requiring correction and educate coworkers to prevent repeat errors
- Review electronic billing system edits preventing clean claim processing
- Work assigned accounts daily according to productivity and quality goals
- Follow up on payment errors, low reimbursement, appeals, and denials
- Assist with training documentation for new and established staff
- Maintain supportive relationships with management and clients
- Communicate payer or client changes to other departments
- Provide team guidance on work-related questions
- Keep current with commercial and managed care pricing models, rules, and regulations
- Maintain knowledge of commercial payers and Medicare/Medicaid HMOs for the assigned project
- Maintain a professional attitude and confidentiality
- Adhere to company policies, laws, regulations, governance, and compliance requirements
- Report policy, compliance, law, and regulation violations
- Assist with internal control failure remediation and self-assessment processes
- Communicate internal control concerns and process changes to management
Requirements:
- 5 or more years of experience in the healthcare reimbursement industry, primarily working with Commercial insurance and Managed Care carriers
- 5 years’ experience in healthcare customer service or insurance collections field
- Strong knowledge of computer billing systems, especially X-claim
- Ability to train, mentor and lead a team
- Experience working with customer support/client issue resolution management
- Proficiency with MS Office
- Excellent oral and written communication skills
- Comprehensive knowledge of the particular field
- Ability to maintain confidentiality
- Ability to follow directions, get along with others, and handle stress
- Occasionally lift and/or move up to 15 pounds
- Minimal travel may be required
Benefits:
- Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions
- Equal Opportunity Employer
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