Patient Services Coordinator

Sentara Healthcare Inc; Norfolk (VA); Hybrid; USD 38,000 - 54,000; Full time

Job summary

Sentara Health is seeking a Remote Patient Service Coordinator to support Medicaid members and providers, working collaboratively to improve health outcomes. This role emphasizes effective information gathering and collaboration with the clinical team to implement interventions for better health and plan adherence.

The position also involves assisting with insurance verification, scheduling, and authorization processes to minimize denials and ensure smooth care delivery.

Qualifications

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

Responsibilities

• Coordinate with Medicaid members and providers to improve health outcomes.
• Assist with gathering information for the health care team and support clinical staff.
• Support health care services through screening, coaching, reminders, and care plan adherence.
• Verify insurance information and support authorization processes to maximize reimbursement.

Skills

Insurance verification

Scheduling

Pre-certification

Pre-registration

Order transmission

Education

High School Diploma

Job description

Sentara Health is looking to hire a Remote Patient Service Coordinator.

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

Patient Service Coordinator works in a collaborative role with Medicaid members and providers to improve health outcomes. Assists with gathering information for the health care team regarding barriers or other health information. Implements the interventions to promote improved health and compliance with recommended plan of care, as approved by the Health Care Team. This includes functions associated with the screening for changes in health status, coaching for improved self-management, reminders of necessary testing as determined by clinical guidelines, and support of the professional clinical staff in Health Care Services.

May serve as a key resource in supporting the clinical authorization processes, including insurance verification/obtaining pre-certification, scheduling, pre-registration and order transmission. Purpose is to ensure maximum reimbursement and reduce denials related to incomplete insurance information and/or authorization. Maintains statistics and acts as liaison between clinical testing sites and offices.

Education:

• High School Diploma (required)

Experience:

• Prior Healthcare experience (required)

Keyword: Talroo-Health, Patient Service Coordinator, Insurance Verification, Scheduling, Authorization, Behavioral Health

Sentara is currently reviewing market compensation for this role. Our Talent Acquisition team will be able to share more specific information during the recruiting process.