Referral Coordinator

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

Benefits offered by this job

Medical plan

Dental plan

Vision plan

Paid Time Off

Parental leave

Disability plans

Life Insurance

401k match

Tuition assistance

Student debt payoff

Pet insurance

Legal resources

Job summary

Sentara Medical Group in Norfolk, VA is seeking a Full-Time Referral Coordinator for the Kempsville Office. The role supports seamless referral management between patients, primary care and specialty providers, while handling pre-authorization processes and insurance verifications.

No nights, holidays, or weekends, with daytime hours Monday–Friday. Ideal candidates have at least one year of experience in insurance verification/referral processing, knowledge of EPIC, and familiarity with

Qualifications

• One year of experience with insurance verification/referral processing preferred.
• Medical terminology preferred.
• Knowledge of EPIC preferred.
• Knowledge of Medicare, Medicaid and third-party payers.

Responsibilities

• Coordinate referral process between patients, primary care providers, specialty providers and insurance companies.
• Manage pre-authorization approvals for drugs and other services as ordered by provider.
• Maintain accurate patient records and ensure timely referrals.

Skills

Medical terminology

Insurance verification

Education

High School Diploma or GED

Tools

EPIC

Job description

City/State Norfolk, VA Work Shift First (Days) Overview: Sentara Medical Group Comprehensive Weight Loss Kempsville Office is seeking to hire a Full-Time Referral Coordinator. Position Hours: Monday-Friday, 8a - 430p, Dayshift. NO NIGHTS, HOLIDAYS or WEEKENDS! Position Location: Norfolk VA Overview Provides a direct link between patients, primary care providers, specialty providers, and insurance companies. Coordinates referral process from primary care providers as well as pre-authorization approvals for drugs and other services as ordered by provider. Medical terminology preferred. Knowledge of Medicare, Medicaid and third-party payers. One year of experience with insurance verification/referral processing preferred. Knowledge of EPIC preferred. Proficient in use of computers and excellent organizational skills. Education High School Diploma or Equivalent Experience Health Insurance Plans 1 year experience required Medical terminology preferred One year of experience with insurance verification/referral processing preferred Knowledge of EPIC preferred Knowledge of Medicare, Medicaid and third-party payer Keywords: Referral Coordinator, Health Plan, Medical Office, Talroo-Allied Health

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!