Revenue Integrity Specialist - CDM at Sentara Health

, Virginia, United States -

Full Time

Start Date

Immediate

Expiry Date

23 May, 26

Salary

0.0

Posted On

22 Feb, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Revenue Integrity, Charge Analysis, Price File Management, Contract Management System, Reimbursement Analysis, Quality Assurance, Customer Service, Billing, Supply Chain

Industry

Hospitals and Health Care

Description

City/State Norfolk, VA Work Shift First (Days) Overview: Revenue Integrity Specialist - CDM Analyzes update requests; ensures quality and customer service; assists in management of individual charge/price files and systems for all chargeable services throughout Sentara hospitals; reviews monthly units of service; provides reimbursement and charge analysis data to hospital finance departments; assists in maintenance of contract management system; completes special projects as needed. Education Bachelors Level Degree Required ( Healthcare Administration, Accounting, Finance or related field) preferred Certification/Licensure No specific certification or licensure requirements Experience One (1) year Hospital/Healthcare Revenue Cycle or related experience (ex: Supply Chain) exp required Previous Billing experience helpful Previous experience with OR Supply Chain strong preferred Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down – $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development •Pet Insurance •Legal Resources Plan •Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met. 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. Sentara Health is a Virginia and Northeastern North Carolina based not-for-profit integrated healthcare provider that has been in business for over 131 years. Offering hundreds of sites of care including 12 hospitals, PACE, home health, hospice, medical groups, imaging services, therapy, outpatient surgery centers, and an 858,000 member health plan. The people of the communities that we serve have nominated Sentara “Employer of Choice” for over ten years. U.S. News and World Report has recognized Sentara as having the Best Hospitals for 15+ years. Sentara offers professional development and a continued employment philosophy!

Responsibilities

This role involves analyzing update requests and ensuring quality and customer service while assisting in the management of individual charge/price files and systems for all chargeable services across Sentara hospitals. The specialist will also review monthly units of service and provide necessary reimbursement and charge analysis data to hospital finance departments.