• Understand the entire dental revenue cycle, ensuring timely and accurate posting of insurance payments • Provide extensive knowledge of laws and regulations of dental coding and posting • Apply necessary and required adjustments taken on insurance payments • Prepare and submit clean claims to insurance companies on a daily basis • Investigate and accurately resolve claim rejections promptly

Role Description The ITIL Specialist, Mid leads the design, implementation, and continual refinement of ITIL-aligned service management processes to strengthen the stability, consistency, and performance of IT services. This role assesses current incident, problem, change, request, and release workflows, identifies operational gaps, and produces optimized processes aligned with business objectives, governance frameworks, and federal IT requirements. Operating at a journeyman level, the specialist collaborates with process owners, service desk teams, operations, and project stakeholders to establish standard procedures, ensure supporting tools are correctly configured, and monitor compliance through KPIs, dashboards, and audits. The position is instrumental in driving continual service improvement across a dynamic federal IT environment. Key Responsibilities - Lead analysis of existing ITSM processes and design future-state workflows for incident, problem, change, request, and release management that follow ITIL best practices and organizational directives. - Develop, publish, and maintain high-quality process documentation—including process flows, RACIs, SOPs, and work instructions—to support operational consistency across teams. - Define and maintain ITSM KPIs and metrics (e.g., MTTR, change success rate, backlog trends), generate insights from data, and recommend actionable improvements. - Act as or support process owner/manager functions by championing process changes, coordinating communications, and ensuring alignment with policies, compliance requirements, and internal controls. - Partner with ITSM platform administrators to translate process designs into tool functionality, validate workflow behavior, and support enhancements or automation opportunities. - Lead or facilitate process audits, health checks, and compliance reviews; analyze ticket samples, document findings, and drive remediation actions with accountable stakeholders. - Support and facilitate root-cause analysis and corrective action planning for major or recurring incidents and problems, ensuring governance adjustments and process changes accompany technical remediation. - Provide coaching and knowledge sharing to junior team members and operations staff on ITIL frameworks, process adherence, and continual service improvement techniques. Qualifications - Bachelor’s degree in Information Technology, Computer Science, Business Administration, or a related field, or equivalent relevant experience. - 4–7 years of experience in IT service management or IT operations roles with direct responsibility for ITIL‑aligned processes (such as incident, problem, or change management). - Strong understanding of the ITIL service lifecycle, process interdependencies, and governance frameworks within enterprise IT environments. - Demonstrated experience analyzing, designing, and documenting ITSM processes and successfully implementing them into daily operations. - Proficiency with incident, problem, and change management tools or enterprise ITSM platforms, including reporting, dashboards, and KPI development. - Excellent analytical, communication, and interpersonal skills with the ability to balance multiple initiatives and coordinate across diverse teams. - Proven experience analyzing, designing, and documenting ITSM processes and implementing them in an operational environment. - Proficiency with problem and incident management tools or broader ITSM platforms, including reporting and KPI development. - Excellent problem‑solving, analytical, communication, and interpersonal skills, with the ability to manage and prioritize multiple concurrent tasks. - Candidates MUST have a current secret security clearance. Preferred Qualifications - Hands‑on experience leading one or more ITIL processes (for example, problem or change management) in an enterprise or government IT environment. - ITIL Foundation plus intermediate or advanced ITIL/ITSM training (such as continual improvement or service operations modules). - Experience conducting formal process audits, health checks, or readiness assessments and presenting findings to leadership. - Familiarity with continual service improvement techniques and facilitation of lessons‑learned or review sessions. Compensation Ranges Compensation ranges for ASM Research positions vary depending on multiple factors; including but not limited to, location, skill set, level of education, certifications, client requirements, contract-specific affordability, government clearance and investigation level, and years of experience. The compensation displayed for this role is a general guideline based on these factors and is unique to each role. Monetary compensation is one component of ASM's overall compensation and benefits package for employees. EEO Requirements It is the policy of ASM that an individual's race, color, religion, sex, disability, age, sexual orientation or national origin are not and will not be considered in any personnel or management decisions. We affirm our commitment to these fundamental policies. All recruiting, hiring, training, and promoting for all job classifications is done without regard to race, color, religion, sex, disability, or age. All decisions on employment are made to abide by the principle of equal employment. Physical Requirements The physical requirements described in "Knowledge, Skills and Abilities" above are representative of those which must be met by an employee to successfully perform the primary functions of this job. (For example, "light office duties' or "lifting up to 50 pounds" or "some travel" required.) Reasonable accommodations may be made to enable individuals with qualifying disabilities, who are otherwise qualified, to perform the primary functions. Disclaimer The preceding job description has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this job.

City/State Norfolk, VA Work Shift First (Days) Overview: Sentara Norfolk General Hospital is hiring a laboratory billing specialist to work full time days. A laboratory billing specialist is responsible for the assignment, completion, and audit of all daily pathology, cytology, and flow cytometry billing processes. Ensures revenue capture for all pathology procedures performed. Manages pathology financial issues involving billing, insurance and corporate finance departments. Responsible for reconciliation, corrections and payment of all department invoices. Serves as department liaison to pathology groups. Education - High School education (required) or - Certificate in Medical Terminology or - Associates degree in Accounting Experience - Medical Terminology - Insurance Verification - Laboratory - Patient Billing - Registration - Customer Service We provide market-compensation packages, inclusive of base pay, incentives, and benefits. The base pay for Full Time employment, this position, is min $ 17.31– max $ 28.85 per hour. Additional compensation may be available for this role such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities . This is a remote position: Remote opportunities available in the following states: Virginia, North Carolina, Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Washington (state), West Virginia, Wisconsin, Wyoming . keywords: laboratory services, coding, customer service . 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 may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met Here at Sentara, we are committed to consistently enhancing our training, advancement tracks, work-life benefits, and more. Our goal is to make you feel more excited to be here every day! Sentara Norfolk General Hospital, located in Norfolk, VA, is a 525-bed tertiary care facility that is home to the only Level I Adult Trauma Center and burn trauma unit in Hampton Roads, and also serves as the primary teaching hospital for Eastern Virginia Medical School. In addition to the high-quality heart program at Sentara Heart Hospital, our facility is home to Nightingale Regional Air Ambulance and several other dedicated facilities and specialized services. As a recognized accredited Comprehensive Stroke Center, and Magnet hospital for nursing excellence, our hospital specializes in heart and vascular, neurosciences, neurosurgery, urology, oncology, spine care, advanced imaging, behavioral health, maternity, and women’s health, including a state-of-the-art neonatal intensive care unit. 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.

• Collect outstanding customer claims • Leverage customer and Amperos systems and platforms to identify a worklist of claims that need to be collected or worked on • Follow up on assigned claims, including calling payors, navigating payor portals, and leveraging customer PM systems • File appeals, resubmit claims, and escalate claims to specific customer teams as needed • Track activity within Amperos systems • Serve as a backup for AI-driven workflows • Run specific AR-related actions (e.g., calls, payor portals, appeal letters) if requested by customers • Help develop and refine “backup” processes to ensure continuity when AI systems fail or require escalation • Contribute to new product development • Provide feedback on new products and features, and on related sample AI results, including: - Payor portal automation - EOB retrieval - Payment posting - Benefit verification & eligibility calls - Appeals, reprocessing, resubmissions • Provide feedback and insight on various workflows and possible areas of automation