Accounts Receivable Speicialist II

Company: Sentara
Location: Harrisonburg
Posted on: February 14, 2025

Job Description:

City/StateHarrisonburg, VAOverviewWork ShiftFirst (Days) (United States of America)Sentara Healthcare is hiring for an Accounts Receivable Specialist II.This is a full-time day shift position Monday - Friday.Location: Remote in Virginia (must be able to travel into a Sentara office once a week)Job Requirements:

• High school diploma 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.*Job Overview: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.Sentara is a Virginia and Southeast North Carolina-based large healthcare provider that has been in business for over 131 years. More than 500 sites of care, including 12 acute care hospitals with a continued employment philosophy!Sentara has eleven Acute Care Facilities across the state of Virginia and one in Northeastern North Carolina; the people of the communities that we serve have nominated Sentara "Employer of Choice" for over 10 years. U.S. News and Report recognize Sentara as having the Best Hospitals for 15+ years.Sentara Benefits:Sentara employees strive to make our communities healthier places to live. We're setting the standard for medical excellence within a vibrant, creative, and highly productive workplace. For more information about our employee benefits, Join our team, where we are committed to quality healthcare, improving health every day, and provide the opportunity for training, development, growth!Job SummaryThe Accounts Receivable Specialist is accountable for daily operational tasks associated with revenue cycle accounts receivable. The Accounts Receivable Specialist is responsible for follow-up and timely and effectively managing requests from patients, insurance primary, secondary, and tertiary payers, and clearing hours, and prepares all appeals and resolves all upfront edits and denials. Routinely monitors and processes monthly write-offs, charge corrections and reconciliation of claim files for assigned area of responsibility.
  
  3+ years' insurance claims or medical billing experience required. Diploma/Certification in medical Insurance Billing and Coding, in lieu of the years of experience. Epic, GECB, or Allscripts experience preferredQualifications:HS - High School Grad or Equivalent (Required)Related experienceSkillsCommunication, Judgment and Decision Making, Microsoft OfficeSentara Healthcare prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.Per Clinical Laboratory Improvement Amendments (CLIA), some clinical environments require proof of education; these regulations are posted at for further information. In an effort to expedite this verification requirement, we encourage you to upload your diploma or transcript at time of application.In support of our mission "to improve health every day," this is a tobacco-free environment.

Keywords: Sentara, Harrisonburg , Accounts Receivable Speicialist II, Other , Harrisonburg, Virginia