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The Sr Premium Billing Specialist is responsible for balancing and reconciling health plan accounts, managing cash receipts, and directing a team. Requires 5 years of experience in accounting and customer service.

Lead and oversee development, production, and delivery of RFP/RFI responses for Sentara Health Plans. Manage consultants and internal teams, craft strategic responses with subject matter experts, ensure accuracy and on-time submission, establish standards/processes for government procurement, and analyze Medicaid market and competitor responses.

Prepare and analyze financial information into statutory statements, assist with audits, research accounting issues, and perform financial analysis.

Provide front-desk and clerical support: answer phones, schedule patients, respond to inquiries via mail/email, perform data entry and basic document formatting, manage appointment calendars and meeting room reservations, and handle mail and routine requests.

Sell and grow home health, hospice, and infusion services by building client relationships, generating leads, managing CRM and sales pipeline, negotiating and closing accounts, handling referrals, and coordinating with internal clinical teams while ensuring regulatory compliance.

Provide general clerical support: answer phones, respond to email/mail inquiries, format letters/reports, open/distribute mail, perform data entry and verification, maintain calendars and meeting room reservations, and organize daily work according to changing priorities.

Support departmental operations and projects under close supervision. Conduct research and analysis, prepare reports and presentations, participate in meetings, track project progress, and assist team members with administrative and project tasks while developing industry-related skills.

The Sr Premium Billing Specialist balances health plan accounts receivable, reconciles cash receipts, posts payments, and provides mentorship to the team.

The Senior Specialty Infrastructure Engineer manages cloud, network, and telecommunication systems, ensuring optimal performance and security. Responsibilities include troubleshooting, capacity planning, and designing infrastructure projects.

The Accounts Receivable Specialist manages daily tasks related to revenue cycle accounts including follow-ups on insurance claims, processing appeals, and reconciling claim files.