Patient Services Coordinator

Sentara Health; Richmond (VA); On-site; USD 28,930,000 - 43,642,000; Full time

Benefits offered by this job

Medical, Dental, Vision plans

Paid Time Off and Holidays

401(k) with employer match

Education assistance

Job summary

Sentara Health is hiring a Patient Service Coordinator to manage authorization intake and coordination. The role includes processing requests via fax, phone, email, and provider portal, building shells in JIVA, and routing them for nurse review.

You will verify insurance, obtain pre-certification, answer provider inquiries, and contact providers for medical necessity information. Scheduling peer-to-peer calls may be required.

Qualifications

• High School Diploma required.
• Previous Healthcare experience required.

Responsibilities

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

Skills

Insurance verification

Provider portal

Communication

Education

High School Diploma

Tools

JIVA

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. 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 and Compensation

Talroo- Health, insurance verification, Patient Services Coordinator. We 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. Sentara offers a comprehensive benefits package, including medical, dental, vision, life and disability insurance; 401(k)/403(b) with employer match; paid time off (vacation, sick time, and holidays); paid parental and military leave; educational assistance or student loan repayment; and voluntary benefits.

Benefits

• 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

Discretionary Bonus

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.