Remote Claims Processor III | Health Plan

Sentara Health; Virginia (IL); On-site; USD 45,000 - 65,000; Full time

Benefits offered by this job

Medical Plan

Dental Plan

Vision Plan

Paid Time Off

Parental Leave

Disability Insurance

Life Insurance

401k Match

Tuition Assistance

Student Debt Paydown

Pet Insurance

Legal Resources

Job summary

Sentara Health Plan in Norfolk, VA is seeking a Claims Processor III for remote work. You will handle customer service related to member acquisition and retention and process claims while interacting with members, providers and employers.

The role requires a HS diploma, CPC or related medical certification or 5 years direct claims processing experience, plus 2 years of administrative and 2 years of health plan claims disbursement experience. Multiple shifts and remote eligibility apply.

Qualifications

• HS diploma or equivalent REQUIRED.
• Minimum 18 months claims processing experience.
• 2 years administrative experience REQUIRED.
• 2 years customer service REQUIRED.
• 2 years health plan claims disbursements REQUIRED.

Responsibilities

• Handle customer service related to member acquisition and retention.
• Process claims and interact with members, providers and employers.

Skills

Customer Service

Claims processing

Administrative work

Financial accuracy

Education

High School Diploma

CPC Certification / Medical Certification

Associates degree or higher

Tools

None

Job description

Sentara Health Plan in Norfolk, VA is seeking a Claims Processor III for remote work. You will handle customer service related to member acquisition and retention and process claims while interacting with members, providers and employers.

The role requires a HS diploma, CPC or related medical certification or 5 years direct claims processing experience, plus 2 years of administrative and 2 years of health plan claims disbursement experience. Multiple shifts and remote eligibility apply.