Finance Provider Specialist

Location
Virginia Beach, VA
Salary
Competitive
Posted
Nov 16, 2018
Closes
Dec 26, 2018
Ref
118039BR
Function
Administrative
Industry
Healthcare
Hours
Full Time
Overview:

Optima Health is hiring an Finance Provider Specialist to join our Finance - Account Services team in Virginia Beach, VA.

Hours/Shift:

Monday - Friday, 8am-5pm

Position Details/Department Description:
  • The ideal candidate possesses strong communication skills.
  • Experience in partnering with medical providers to complete refund processes.
  • The candidate must have working experience within the financial discipline.
  • Intermediate knowledge of Excel and Word.
  • The ability to process provider refunds.


Division Highlights:

Optima Health offers a full suite of commercial health insurance products including employee-owned and employer-sponsored plans, as well as Individual and Family health plans, employee assistance plans and plans serving Medicare and Medicaid enrollees. We offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services.

As a nationally recognized provider of health plan coverage and innovative wellness programs, we live our mission "to improve health everyday." This same commitment and dedication directs our philosophy as an employer. When you join Optima Health, you will experience our deep passion for heal and service excellence while benefiting from a culture of opportunity, learning, career growth, and support --every day. Optima Health is a service of Sentara Healthcare, so joining Optima is joining the Sentara Healthcare family.


Sentara Benefits:

Sentara employees strive to make our communities healthier places to live. We’re setting the standard for medical excellence within a vibrant, creative, and highly productive workplace. For more information about our employee benefits, CLICK HERE!

Join our team, where we are committed to quality healthcare, improving health every day, and provide the opportunity for training, development, growth!



Other
Collections experience preferred.

keyword: finance, collections, refunds, providers, health plans, health insurance, managed care, accounting

Equal Opportunity Employer

Responsibilities:

The Finance Provider Specialist analyzes, audits, reconciles, researches and reports to prepare payment adjustments to reduce medical claims expense in accordance with legal statutes, policy provisions and company guidelines. This position is responsible for interacting regularly with internal and external customers as it relates to provider refunds, vendor payments, negative balance collections, subrogation negotiation and collection analysis.

Qualifications:

Education Level
Associate's Level Degree

Experience
Required: Related - 4 years

Preferred: None, unless noted in the "Other" section below

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