AR Specialist 2

Savista

. Verify or obtain patient eligibility and/or authorization for healthcare services through payer websites, client eligibility systems, phone conversations with insurance carriers, or healthcare providers.

Posted 10/14/2026full-timeRemote • United StatesMid-LevelSenior💰 $20 - $23 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in healthcare insurance accounts receivable processes, including claims follow-up, billing error identification, and appeals management. Proficient in navigating payer websites and utilizing accounts receivable software to ensure compliance with relevant regulations and optimize reimbursement.

Highest-signal resume keywords

Healthcare Insurance Accounts ReceivableClaims Follow-UpEOB ReviewAccounts Receivable SoftwarePayer Site Navigation

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims ProcessingBilling Error IdentificationDenial ManagementMedical DocumentationData EntryA/R ActivitiesTechnical Appeals WritingReimbursement ProceduresCoordination of BenefitsPerformance Objectives Achievement

Soft Skills

Effective CommunicationCross-Functional Team CollaborationProblem SolvingAttention to DetailTime Management

Tools & Technologies

Microsoft OfficeInternet ExplorerExcelMeditech Expanse

Certifications & Qualifications

High School DiplomaGED

Industry Keywords

HIPAA ComplianceFDCPAFCRAMedicareMedicaidInsurance PayersBilling GuidelinesPatient EligibilityClaims DenialsHealthcare Providers

About the role

Key responsibilities & impact

Verify or obtain patient eligibility and/or authorization for healthcare services through payer websites, client eligibility systems, phone conversations with insurance carriers, or healthcare providers.
Update patient demographics and insurance information in appropriate systems.
Research and appropriately status unpaid or denied claims.
Monitor claims for missing information, authorization, and control numbers (ICN/DCN).
Research EOBs for payments or adjustments to resolve claims.
Contact payers by phone or written correspondence to secure payment of claims.
Access client systems for received payments, open claims, and other information needed to resolve claims.
Follow guidelines for prioritization, timely filing deadlines, and notation protocols.
Secure medical documentation requested by third-party insurance carriers.
Obtain billing guidelines and requirements by researching provider billing manuals.
Write appeal letters for technical appeals.
Verify underpayments by researching contracts and claims data.
Prepare claims for clinical audit processing in cases of authorization, coding, level-of-care, or length-of-stay denials.
Support Savista's Compliance Program by adhering to HIPAA, FDCPA, FCRA, and other applicable laws and policies, including confidentiality and HIPAA-compliant handling of patient information.

Requirements

What you’ll need

High school diploma or GED.
At least three years of experience in healthcare insurance accounts receivable follow up, working with or for a hospital/hospital system, working directly with government or commercial insurance payers.
Experience identifying billing errors and resubmitting claims as well as following up on payment errors, low reimbursement and denials.
Experience reviewing EOB and 1500 forms to conduct A/R activities.
Knowledge of accounts receivable practices, medical business office procedures, coordination of benefit rules and denial overturns and third-party payer billing and reimbursement procedures and practices.
At least three years of experience with accounts receivable software.
Experience navigating payer sites for appeals/reconsiderations, benefits verification and online claims follow up with Medicare and Medicaid insurance background.
Demonstrated ability to navigate Internet Explorer and Microsoft Office, including the ability to input and sort data in Microsoft Excel and use company email and calendar tools.
Demonstrated experience communicating effectively with payers, understanding complex information and accurately documenting the encounter.
Ability to work effectively with cross-functional teams to achieve goals.
Demonstrated ability to meet performance objectives.
Productivity requirements are 55 claims per date/275 claims per week.
Preferred: Experience with Meditech Expanse.
Preferred: Experience with Pennsylvania Insurance Processes - Medicaid.
Preferred: Experience with both hospital (facility) and physician (pro-fee) A/R.