Sentara Healthcare Hiring for Medical Payment Specialist II Job at Chesapeake, VA Full Time

Responsible for the accurate and timely production of billing insurance claims and/or the resolution of issues preventing the payment of outstanding accounts receivable on all product lines for all payors. Preparation, balancing and reconciliation of weekly funding requirements and monthly disbursement reports for all payor sources in a timely manner. Reviews, coordinates and processes payments, maintains vendor files and completes all department documentation requirements. The role requires a strong working knowledge of billing and collection of outstanding AR for all insurance payers. Demonstrates a strong knowledge of insurance billing regulations and payer payment practices across all payers. A proven track record of effective AR collections or accurate billing of insurance claims. Strong working knowledge of Microsoft products. Positive attitude, attention to detail, questioning attitude, willingness to collaborate with leadership and other team members to continuously improve processes. A total of five years of experience across the following areas: billing or resolving insurance accounts receivable, adjudicating insurance claims, processing electronic insurance payment remittances, deposit management, cash reconciliation, handling calls in customer service call center. Pharmacy Technician, CPhT, Preferred

Sentara Enterprises Specialty Pharmacy is looking for a Medical Payment Specialist to join the team.

Location:

Sentara Home Care Services

535 Independence Pkwy, Ste 500

Chesapeake, VA 23320

The Medical Payment Specialist is responsible for the accurate and timely production of billing insurance claims and/or the resolution of issues preventing the payment of outstanding accounts receivable on all product lines for all payors. Preparation, balancing and reconciliation of weekly funding requirements and monthly disbursement reports for all payor sources in a timely manner. Reviews, coordinates and processes payments, maintains vendor files and completes all department documentation requirements. The role requires a strong working knowledge of billing and collection of outstanding AR for all insurance payers.

Demonstrates a strong knowledge of insurance billing regulations and payer payment practices across all payers. A proven track record of effective AR collections or accurate billing of insurance claims. Strong working knowledge of Microsoft products. Positive attitude, attention to detail, questioning attitude, willingness to collaborate with leadership and other team members to continuously improve processes.

A total of five years of experience across the following areas: billing or resolving insurance accounts receivable, adjudicating insurance claims, processing electronic insurance payment remittances, deposit management, cash reconciliation, handling calls in customer service call center.

Preferred certifications and licensure: CPhT, Pharmacy License in Virginia

Keywords: Pharmacy Technician, CPhT,

• High School Grad or Equivalent

• Billing 2 years
• Insurance 2 years

• Active Listening
• Active Learning
• Troubleshooting
• Time Management
• Technology/Computer
• Reading Comprehension
• Monitoring
• Microsoft Word
• Microsoft Excel
• Mathematics
• Judgment and Decision Making
• Critical Thinking
• Complex Problem Solving
• Communication