Patient Services Coordinator

Sentara Health Plans; Norfolk, Northern (VA, KY); Hybrid; USD 36,000 - 54,000; Full time

Benefits offered by this job

Medical, Dental, Vision plans

Paid Time Off and Sick Leave

2024/2025 Tuition Assistance

Job summary

Sentara Health Plans in Norfolk, VA seeks a Patient Services Coordinator for daytime M-F hours with occasional weekend flexibility. Primary duties include intake of authorization requests via multiple channels, building shells in JIVA, and routing for nurse review.

You will verify insurance, assist providers, and coordinate information needed for medical necessity reviews. Qualifications include a High School Diploma and healthcare experience.

Qualifications

• Experience in healthcare environment required.
• High school diploma or equivalent 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 practices, including insurance verification and pre-certification.
• Answer provider calls and assist with questions related to the authorization process.
• Outreach to providers to obtain clinical information needed for medical necessity review.
• Assist in scheduling peer-to-peer calls as requested.

Skills

Healthcare experience

Education

High School Diploma

Job description

Location

Norfolk, VA

Work Shift

First (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.

Responsibilities

• 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.

Requirements

• Education: High School Diploma (required)
• Experience: Previous Healthcare experience (required)

Keywords

Talroo- Health, insurance verification, Patient Services Coordinator

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.

Equal Opportunity

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.

Remote Work Eligibility

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.

Company Overview

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!