Savista partners with healthcare organizations to improve revenue cycle performance and support quality patient care. This role is responsible for the timely submission of technical or professional medical claims to insurance companies.
Key responsibilities include:
- Verify patient, billing, and claim information across hospital and physician systems
- Perform primary, secondary, tertiary, and rebill billing functions through electronic, paper, and portal submissions
- Edit claims to meet billing compliance guidelines for electronic and hardcopy submission
- Respond to emails and telephone messages in a timely manner
- Communicate payer, system, and escalated account issues to management
- Participate in meetings, training seminars, and in-services to develop job knowledge
- Follow hospital policies, procedures, and applicable federal, state, local, and JCAHO standards
- Update patient demographics and insurance information in appropriate systems
- Monitor claims for missing information, authorizations, and control numbers (ICN/DCN)
- Follow prioritization, timely filing deadlines, and notation protocols
- Secure medical documentation requested by third-party insurance carriers
- Maintain confidentiality of patient information in accordance with policy and procedure
- Perform other related duties as assigned
Requirements & Qualifications
Qualifications
- 1-2 years of medical collections or billing experience
- Basic knowledge of ICD-10, CPT, HCPCS, and NCCI
- Basic knowledge of third-party billing guidelines
- Basic knowledge of billing claim forms, including UB-04 and 1500
- Basic knowledge of payer contracts
- Working knowledge of Microsoft Word and Excel
- Basic working knowledge of health information systems, including EMR, claim scrubbers, and patient accounting systems
Preferred Qualifications
- Working knowledge of patient accounting systems such as EPIC, Cerner, STAR, Meditech, CPSI, Invision, PBAR, Allscripts, or Paragon
- Working knowledge of the DDE Medicare claim system
Location
N/A
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
Yes
Posted
1 week ago
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