Business Office Specialist - PACE

Benefits

• Caregiver leave
• Dental insurance
• Health insurance
• Loan repayment program
• Parental leave
• Tuition reimbursement
• Vision insurance

Sentara PACE is currently hiring a full time Business Office Specialist to join their team!
Shift: Monday - Friday (8am - 5pm) - Fully Remote Position!!

The Business Office Specialist:

• Performs general accounting duties to include reconciliations to general ledgers.
• Computes, classifies and records numerical data to ensure financial records are complete and accurate.
• Is responsible for the accurate and timely production of health plan/insurance payable disbursements on PACE participant claims.
• Prepares, Balances, and reconciles weekly funding requirements and monthly disbursement reports for all payor sources in a timely manner.
• Reviews, coordinates and processes for payments, maintains vendor files and completes all departmental documentation.
• Communicates with third party payors to determine action needed to get payor to process and pay outstanding claims.
• Documents, processes and re-submits claims to payors.
• Submits appeals of denied claims.
• Identifies problems hindering processing of claims and suggests solutions.
• Acts as financial liaison between Site Directors and TC, Technical Accounting.
• Is responsible for collections process on past due accounts.
• Informs Site Director when collection efforts have been exhausted for individual participants.
• Assists sites with Medicaid renewal applications and tracking of the applications throughout the process until a final determination is reached by the city/state.

Requirements:

• Associate's Degree required, Bachelors in Accounting or Finance preferred
• 3 years billing experience required
• Accounts Receivable experience required

Sentara Healthcare offers outstanding benefits.

• Tuition assistance and Student Loan Repayment Benefit
• Health, Dental, Vision and Medical insurance
• Generous Paid Annual Leave, Parental and Caregiver Leave
• Retirement with match
• Adoption, Infertility, and Surrogacy Reimbursement
• Career and personal development opportunities
• Reward programs for health and wellness

Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth.

Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve!

Keywords: Monster, Talroo - Allied Health, Office Specialist, Medicaid, Medicare, Accounting, Billing, Accounts Receivable, Finance

Performs general accounting duties to include reconciliations to general ledgers. Compute, classify and record numerical data to ensure financial records are complete and accurate. Responsible for the accurate and timely production of health plan/insurance payable disbursements on PACE participant claims. Preparation, balancing, and reconciliation of weekly funding requirements and monthly disbursement reports for all payor sources in a timely manner. Reviews, coordinates and processes for payments, maintains vendor files and completes all departmental documentation. Communicates with third party payors to determine action needed to get payor to process and pay outstanding claims. Documents, processes and re-submits claims to payors. Submits appeals of denied claims. Identifies problems hindering processing of claims and suggests solutions. Acts as financial liaison between Site Directors and TC, Technical Accounting. Responsible for collections process on past due accounts. Informs Site Director when collection efforts have been exhausted for individual participants. Assists sites with Medicaid renewal applications and tracking of the applications throughout the process until a final determination is reached by the city/state. Completes other duties as assigned. PACE specific incumbents for this position require a minimum of one year of experience working with the frail or elderly population. Associate's degree in finance or accounting preferred.

•  Associate's Level Degree
• Accounts Receivable Previous Experience
• Billing 3 years
• Accounting/Finance 1 year
• Healthcare 1 year
• Long Term Care 1 year
• Active Listening
• Communication
• Coordination
• Critical Thinking
• Judgment and Decision Making
• Microsoft Excel
• Microsoft Office
• Microsoft Word
• Reading Comprehension
• Speaking
• Time Management
• Writing