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Accounts Receivables Specialist Ii for Medicare

3 months ago

Norfolk, United States Sentara Healthcare Full time

**Sentara Healthcare is hiring a Accounts Receivables Specialist II and can work remotely in **_Virginia_****

**This is a full time position with day shift and great benefits**

**Job responsibilities**:

- Responsible for the billing of insurance claims and/or the resolution of issues preventing the payment of outstanding accounts receivable, for assigned payer(s). Role requires a strong working knowledge of billing and collections with a demonstrated ability to resolve more complex billing edits and/or resolve more complex denials and payment delays.
- Demonstrates a strong knowledge of insurance regulations and payer practices. A proven track record of effective AR collections or accurate billing of insurance claims. Positive attitude, attention to detail, questioning attitude, willingness to collaborate with leadership and other team members to continuously improve processes.

**Job requirements**:

- HS - High School Grad or Equivalent
- A total of three years of experience across the following areas: billing or resolving insurance accounts receivable, adjudicating insurance claims, pre-registering or registering patients for healthcare services, handling calls in a customer service call center.
- A healthcare certification from an accredited program or an Associate or Bachelor degree may be substituted for one year of experience.
- Medicare experience is a plus

**Sentara Benefits**:
**_ Sentara Healthcare_**_ celebrates more than 130 years in pursuit of its mission - “we improve health every day.” Sentara is an integrated, not-for-profit health care delivery system with more than 29,000 employees (including 1,375 physicians and advanced practice providers), 12 hospitals in Virginia and Northeastern North Carolina and the Sentara Health Plans division which serves over 900,000 members. _**_Sentara _**_is recognized nationally for clinical quality and safety and is strategically focused on innovation and creating an extraordinary health care experience for our patients and members. _**_Sentara_**_ was named to IBM Watson Health’s “Top 15 Health Systems” in 2021 and 2018, recognized as a “Best Employer for Women” by Forbes in 2020, and ranked as one of Forbes “America’s Best Employers” in 2018._ _
- Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth._

**Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve**

Monster

Talroo - Health Plan

Accounts Receivables, Specialist, Billing, Insurance, Adjudicating, Claims, Remote, Virginia, Medicare

Responsible for the billing of insurance claims and/or the resolution of issues preventing the payment of outstanding accounts receivable, for assigned payer(s). Role requires a strong working knowledge of billing and collections with a demonstrated ability to resolve more complex billing edits and/or resolve more complex denials and payment delays. Demonstrates a strong knowledge of insurance regulations and payer practices. A proven track record of effective AR collections or accurate billing of insurance claims. Positive attitude, attention to detail, questioning attitude, willingness to collaborate with leadership and other team members to continuously improve processes. A total of three years of experience across the following areas: billing or resolving insurance accounts receivable, adjudicating insurance claims, pre-registering or registering patients for healthcare services, handling calls in a customer service call center. A healthcare certification from an accredited program or an Associate or Bachelor degree may be substituted for one year of experience. Opportunities for advancement provided.
- High School Grad or Equivalent
- Healthcare 3 years
- Mathematics
- Reading Comprehension
- Judgment and Decision Making
- Complex Problem Solving
- Communication
- Active Listening
- Critical Thinking
- Active Learning
- Coordination
- Writing
- Troubleshooting
- Time Management
- Technology/Computer
- Monitoring
- Speaking
- Social Perceptiveness
- Microsoft Word
- Microsoft Excel
- Service Orientation