City/State

Work Shift

Overview:

Billing Specialist II

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.

Education

• High School Diploma or equivalent

Certification/Licensure

• No specific certification or licensure requirements

Experience

• 3 yrs Revenue Cycle Management required
• Billing, A/R, A/P experience
• Strong Customer Service and communication skills

Sentara Health is an equal opportunity employer and 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.

In support of our mission “to improve health every day,” this is a tobacco-free environment.

For positions that are available as remote work, Sentara Health employs associates in the following states:

Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.