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Ar Specialist Ii- Clinical Appeals
4 months ago
**Sentara Health** is seeking to hire a qualified individual to join our team as a
**AR Specialist II Clinical Appeals**
**Position Status**: Full-time, Day Shift
**Position Location**:Norfolk, VA
**Standard Working Hours**: 8:00AM to 5:00PM (ET).
**Position Summary**:
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.
**Minimum Requirements**:
- 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.
**Diversity and Inclusion at Sentara**
Our vision is that everyone brings the strengths that come with diversity to work with them every day. When we are achieving our vision, we have team members that feel they belong and can be their authentic selves, and our workforce is reflective of the communities we serve.
We are realizing this vision through our Diversity and Inclusion strategy, which has three pillars: A diverse and talented workforce, an inclusive and supportive workplace, and outreach and engagement with our community. We have made remarkable strides in these areas over the past several years and, as our world continues to evolve, we know our work is never done.
Our strategies focus on both _structural inclusion_, which looks at our organizational structures, processes, and practices; as well as _behavioral inclusion_, which evaluates our mindsets, skillsets, and relationships. Together, these strategies are moving our organization forward in an environment that fosters a culture of mutual respect and belonging for all.
**Please visit the link below to learn more about Sentara’s commitment to diversity and inclusion**:
**Sentara Overview**
For more than a decade, Modern Healthcare magazine has ranked Sentara Health as one of the nation's top integrated healthcare systems. That's because we are dedicated to growth, innovation, and patient safety at more than 300 sites of care in Virginia and northeastern North Carolina, including 12 acute care hospitals.
**Sentara Benefits**
As the third-largest employer in Virginia, Sentara Health was named by Forbes Magazine as one of America's best large employers. We offer a variety of amenities to our employees, including, but not limited to:
- Medical, Dental, and Vision Insurance
- Paid Annual Leave, Sick Leave
- Flexible Spending Accounts
- Retirement funds with matching contribution
- Supplemental insurance policies, including legal, Life Insurance and AD&D among others
- Work Perks program including discounted movie and theme park tickets among other great deals
- Opportunities for further advancement within our organization
Join our team We are committed to quality healthcare, improving health every day, and provide the opportunity for training, development, and growth
**Please Note**: The yearly Flu Vaccination is required for employment.
**_ Note:_**_ Sentara Health offers employees comprehensive health care and retirement benefits designed with you and your family's well-being in mind. Our benefits packages are designed to change with you by meeting your needs now and anticipating what comes next. You have a variety of options for medical, dental and vision insurance, life insurance, disability, and voluntary benefits as well as Paid Time Off in the form of sick time, vacation time and paid parental leave. Team Members have the opportunity to earn an annual flat amount Bonus payment if established system and employee eligibility criteria is met._
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 k
