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 patients, insurance primary, secondary, and tertiary payers, and clearing hours, and prepares all appeals and resolves all upfront

Responsible for accurately balancing and reconciling health plan accounts receivables. Experience in finance or within Optima division. If Bachelor's Level Degree in Finance, there is not an experience requirement. Qualifications HS High School Grad or Equivalent (Required) Related experience Skills Communication, Microsoft Office Sentara Healthcare prides itself on the d

Responsible for accurately balancing and reconciling health plan accounts receivables. Experience in finance or within Optima division. If Bachelor's Level Degree in Finance, there is not an experience requirement. Qualifications HS High School Grad or Equivalent (Required) Related Skills Communication, Microsoft Office Sentara Healthcare prides itself on the diversity an

Prepare, analyze, research, and adjust financial statements for management presentation. Creates relevant work papers, schedules, and reconciliations. Review and comprehend financial indicators and results of operations, significant operational statistics, variances from budget and historical results. Research technical accounting and financial reporting issues, and assis

This position is responsible for the daily supervision and operational review of the corporate accounts payable functions. Performs a variety of complex, administrative tasks in support of the goals and initiatives in the department. This position is also responsible for the integration of accurate information into the financial statements and 1099 reporting to the IRS. D

Performs a number of functions including those of physician education, internal auditing, coder education, management of AR queries/problems, and liaison with external auditors for corporate audits. The internal audit program assures optimal ethical reimbursement for Sentara's patients, and also assures that the coding practices fall within established compliance guidelin

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 patients, insurance primary, secondary, and tertiary payers, and clearing hours, and prepares all appeals and resolves all upfront

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

The Special Investigations Unit (SIU) Director oversees all commercial and government medical claims related fraud, waste, and abuse activities. ESSENTIAL DUTIES AND RESPONSIBILITIES Develops and implements a strategic plan for the identification, investigation, recovery, and prevention of fraud against the Health Plan. Minimize risk of loss due to fraudulent and/or abusi

Analyzes update requests; ensures quality and customer service; assists in management of individual charge/price files and systems for all chargeable services throughout Sentara hospitals; reviews monthly units of service; provides reimbursement and charge analysis data to hospital finance departments; assists in maintenance of contract management system; completes specia