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Savista

AR Specialist 2

Savista

. Verify/obtain eligibility and/or authorization using payer websites, client eligibility systems, or phone .

Posted 11/2/2026full-timeRemote • United StatesJuniorMid-LevelWebsite

Core Competencies

Role fit
Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in medical billing and collections, including proficiency in ICD-10, CPT, and HCPCS coding, as well as familiarity with third-party billing guidelines and patient accounting systems. Strong ability to manage claims processing, appeals, and maintain compliance with government regulations.

Highest-signal resume keywords
Medical Billing ExperienceICD-10 Coding KnowledgeCPT Coding KnowledgePatient Accounting Systems (EPIC, Cerner)Third Party Billing Guidelines

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills
ICD-10CPTHCPCSNCCIUB04/1500 Claim FormsPayor ContractsClaims ResearchAppeal Letter WritingClaims ProcessingMedical Documentation Management
Soft Skills
CommunicationProblem-SolvingAttention to DetailConfidentiality
Tools & Technologies
Microsoft WordMicrosoft ExcelEMR SystemsClaim ScrubbersPatient Accounting SystemsDDE Medicare Claim System
Industry Keywords
Medical CollectionsInsurance GuidelinesClaims DenialsClinical AuditsGovernment Regulations

About the role

Key responsibilities & impact
  • Verify/obtain eligibility and/or authorization using payer websites, client eligibility systems, or phone
  • Update patient demographics and 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 claims
  • Contact payers by phone or written correspondence to secure claim payments
  • Access client systems for payment, patient, claim, and data information
  • Follow prioritization, timely filing deadline, and notation protocols
  • Secure medical documentation requested by third-party insurance carriers
  • Maintain patient-information confidentiality according to insurance collection guidelines and corporate policies
  • Utilize provider billing manuals to obtain billing guidelines and requirements
  • Write appeal letters for technical appeals
  • Verify underpayment accuracy using contracts and claims data
  • Prepare claims for clinical audit processing for authorization, coding, level-of-care, or length-of-stay denials
  • Perform other related duties as required
  • Serve as a liaison to clinical auditors, team members, hospital staff, government agencies, and health plans to facilitate prompt claim payment

Requirements

What you’ll need
  • 2+ years of medical collections/billing experience
  • Intermediate knowledge of ICD-10, CPT, HCPCS and NCCI
  • Intermediate knowledge of third party billing guidelines
  • Intermediate knowledge of billing claim forms (UB04/1500)
  • Intermediate knowledge of payor contracts
  • Working knowledge of Microsoft Word and Excel
  • Intermediate working knowledge of health information systems (i.e. EMR, Claim Scrubbers, Patient Accounting Systems, etc.)
  • Working knowledge of one or more of the following patient accounting systems: EPIC, Cerner (preferred)
  • Working knowledge of DDE Medicare claim system (preferred)
  • Knowledge of government rules and regulations (preferred)