Remote Claims Processor III for Health Plan Members

Sentara Health; Richmond (VA); Remote; USD 42,000 - 60,000; Full time

Benefits offered by this job

Medical, Dental, Vision plans

Paid Time Off

Job summary

Sentara Health Plan is hiring a Claims Processor III for remote work with opportunities across multiple states. The role emphasizes accurate claims processing, member/provider interactions, and adherence to processing standards.

Candidates should have 18+ months of claims experience, a CPC or related certification, and a High School diploma or higher. This full-time position offers benefits and a supportive, patient-centered work environment.

Qualifications

• Minimum 18 months claims processing experience.
• Strong accuracy in financial checks and processing.

Responsibilities

• Process claims and related administrative tasks for Sentara Health Plan.
• Interact with members, providers, and employers to support claim inquiries and retain members.

Skills

Customer service

Administrative tasks

Healthcare claims processing

Education

High School Diploma or GED

CPC Certification or related medical certification

Associates degree

Job description

Sentara Health Plan is hiring a Claims Processor III for remote work with opportunities across multiple states. The role emphasizes accurate claims processing, member/provider interactions, and adherence to processing standards.

Candidates should have 18+ months of claims experience, a CPC or related certification, and a High School diploma or higher. This full-time position offers benefits and a supportive, patient-centered work environment.