Patient Services Coordinator- Remote in VA

Sentara Health Plans; Norfolk, Northern (VA, KY); Hybrid; USD 42,000 - 52,000; Full time

Benefits offered by this job

Medical, Dental, Vision plans

401k/Employer match

Paid Time Off

Job summary

Sentara Health Plans is seeking a Patient Services Coordinator for Pre-Authorization remote in VA. The role is full-time with standard hours and rotating weekend coverage, supporting pre-authorization processes remotely from Virginia.

Responsibilities include coordinating referrals, obtaining pre-authorization approvals, and assisting members. Requires high school diploma and healthcare experience; call center experience preferred.

Qualifications

• HS - High School Grad or Equivalent REQUIRED
• Experience in Healthcare REQUIRED
• Pre-authorization and health plan experience preferred
• Call center experience preferred

Responsibilities

• Coordinate linkage between members, primary care providers, specialty providers and other insurers for pre-authorization
• Assist with referrals and pre-authorization approvals for medications and services as ordered by providers
• Draft correspondences, schedule appointments, organize and maintain records and files
• Provide assistance to members as needed

Skills

Data entry

Healthcare communication

Customer service

Education

High School Diploma or GED

Job description

City/State Norfolk, VA Work Shift First (Days) Overview: Sentara Healthcare is currently hiring a Patient Services Coordinator for Pre-Authorization Remote in VA! Status: Full-time, permanent position (40 hours) Work hours: 8am to 5pm EST, M-F with rotating weekend shift (Saturday and Sunday), every other week; This position will be includes data entry and making and receive provider calls for pre-authorization Location: This is a remote position in Virginia.

Job responsibilities

A Patient Service Coordinator serves as a key resource in supporting the clinical authorization processes, coordinating linkage between members, primary care providers, specialty providers and other insurance companies. Includes supporting the referral process from providers, as well as pre-authorization approvals for medications and other services as ordered/requested by providers. May provide other general administrative functions such as drafting correspondences, scheduling appointments, organizing and maintaining records and files, and providing assistance to members.

Education HS - High School Grad or Equivalent REQUIRED Certification/Licensure None required Experience Experience working in Healthcare REQUIRED Previous pre-authorization and health plan experience preferred Call center experience preferred

Sentara Health Plans provides health plan coverage to close to one million members in Virginia. We offer a full suite of commercial products including employee-owned and employer-sponsored plans, as well as Individual & Family Health Plans, Employee Assistance Programs and plans serving Medicare and Medicaid enrollees. Our quality provider network features a robust provider network, including specialists, primary care physicians and hospitals. We offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services—all to help our members improve their health. Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth. Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve!

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. 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!