Patient Services Coordinator

Managed Care Services, Inc.; Norfolk (VA); On-site; USD 30,000 - 44,000; Full time

Benefits offered by this job

Medical, Dental, Vision plans

401k/Employer Match

Tuition Assistance

Job summary

Sentara Health in Norfolk, VA is seeking a Patient Service Coordinator to manage authorization requests via fax, phone, email and the provider portal. You will build authorization shells in JIVA and route them for nurse review while coordinating activities for practices including insurance verification and pre-certification.

Education requires a High School Diploma and prior healthcare experience. Hours are Mon-Fri 8:00am–5:00pm with flexibility for every-other-weekend shifts.

Qualifications

• High School Diploma is required.
• Previous healthcare experience is required.

Responsibilities

• Handle intake of authorization requests via fax, phone, email and provider portal.
• Build authorization shells in JIVA and route authorizations for nurse review.
• Coordinate activities for specific practices, including insurance verification and pre-certification.
• Answer provider calls and assist with questions about the authorization process.
• Outreach to providers to obtain clinical information for medical necessity review.
• Assist in scheduling peer-to-peer calls as requested.

Skills

Healthcare experience

Education

High School Diploma

Job description

City/StateNorfolk, VAWork ShiftFirst (Days)Overview:Sentara Health is looking to hire a Patient Service Coordinator.Hours of operations are M-F 8:00am to 5:00pm. Must be flexible to work every other weekend.A Patient Services Coordinator is responsible for intake of authorization requests via fax, phone, email and provider portal. Building authorization shells in JIVA, routing authorizations for nurse review.Coordinates activities for specific practices, including insurance verification/obtaining pre-certification. Responsible for answering provider calls and assisting with questions related to authorization process. Outreach to providers to request clinical information needed for medical necessity review. Assist in scheduling peer-to-peer calls, as requested.Education:High School Diploma (required)Experience:Previous Healthcare experience (required)Keywords: Talroo- Health, insurance verification, Patient Services CoordinatorWe provide market-competitive compensation packages, inclusive of base pay, incentives, and benefits. The base pay range for full-time employment is $21.88 - $31.68 hourly. Additional compensation may be available for this role, such as shift differentials, standby/on-call pay, overtime, shift premiums, extra-shift incentives, or bonus opportunities. Compensation within the range may vary based on qualifications, experience, location, market conditions, and business needs.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•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.