Accounts Receivable Specialist II

Sentara Health

7d•Remote

About The Position

The AR Specialist II is responsible for managing the accounts receivable (AR) process within the revenue cycle. This role involves reviewing, processing, and following up on outstanding claims and payments to ensure timely reimbursement from insurance companies, consumers, and other third parties. The AR Specialist II works closely with various internal teams, including billing, coding, and clinical departments, to resolve discrepancies, address denials, and ensure compliance with regulations. The 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 consumers, 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. Remote opportunity is available for this position

Requirements

High School graduate or equivalent
Three ( 3) years minimum Revenue Cycle Management experience required
Accounts Receivable experience
Outstanding Claims, payments, reimbursements
Experience with Payers, appeals, edits, authorizations and denials
Excel experience

Responsibilities

managing the accounts receivable (AR) process within the revenue cycle
reviewing, processing, and following up on outstanding claims and payments to ensure timely reimbursement from insurance companies, consumers, and other third parties
works closely with various internal teams, including billing, coding, and clinical departments, to resolve discrepancies, address denials, and ensure compliance with regulations
accountable for daily operational tasks associated with revenue cycle accounts receivable
responsible for follow-up and timely and effectively managing requests from consumers, insurance primary, secondary, and tertiary payers, and clearing hours, and prepares all appeals and resolves all upfront edits and denials
monitors and processes monthly write-offs, charge corrections and reconciliation of claim files for assigned area of responsibility

Benefits

Medical, Dental, Vision plans
Adoption, Fertility and Surrogacy Reimbursement up to $10,000
Paid Time Off and Sick Leave
Paid Parental & Family Caregiver Leave
Emergency Backup Care
Long-Term, Short-Term Disability, and Critical Illness plans
Life Insurance
401k/403B with Employer Match
Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education
Student Debt Pay Down – $10,000
Reimbursement for certifications and free access to complete CEUs and professional development
Pet Insurance
Legal Resources Plan
Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.