Patient Services Coordinator- Pre-Authorization for Commercial - Remote in Virginia
Job Description
City/State
Norfolk, VAWork Shift
Multiple shifts availableOverview:
Sentara Healthcare is currently hiring a Patient Services Coordinator- Pre-Authorization for Commercial - Remote in Virginia!
Status: Full-time, permanent position (40 hours)
Work hours: 8am to 5pm EST, M-F with Saturday and Sunday shifts, every 15 weeks with weekend differential
Location: This is a remote position in VA.
Job responsibilities:
This role supports prior authorization for commercial plans and works closely with provider offices. You will receive requests (via fax or online), route them to nurses for review, and help track status.
This is a phone-based role. You will take inbound calls from clinics and hospitals to confirm receipt of requests and provide updates.
Education
HS - High School Grad or Equivalent REQUIRED
Certification/Licensure
None required
Experience
Experience working in Healthcare REQUIRED
Health plan experience highly preferred
Experience handling calls in a call center or similar phone-based role 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!
To apply, please go to www.sentaracareers.com and use the following as your Keyword Search: JR-100861
Talroo-Health Plan
Keywords: Managed Care, MCO, Healthcare, Health Plan, Clinical, Patient Service Coordinator, Prior Authorization, Commercial, Remote, Virginia, VA
•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.