Remote
Overview
Responsible for all areas of customer service as it pertains to research and resolution of telephone inquiries from members or patients. Primarily responsible for handling incoming calls to effectively address issues related to either member eligibility, plan prescription benefits, and claim payment issues or patient services needs such as updating billing information, establishing payment plans, resolving payment inquiries, or patient scheduling. Provide quality service and customer satisfaction through effective communication and education. (Billing questions, claims)
Education
- High School Diploma or Equivalent REQUIRED
Certification/Licensure
- No specific certification or licensure requirements
Experience
- Customer Service- 2 years REQUIRED
- Previous Data Entry Experience REQUIRED
- Call center experience highly preferred
- Healthcare background preferred (pre-authorization, insurance eligibility, referrals, billing, claims)
- EPIC experience is a plus
Sentara Overview:
Sentara Health, an integrated, not-for-profit health care delivery system, celebrates more than 130 years in pursuit of its mission – "we improve health every day." Sentara is one of the largest health systems in the U.S. Mid-Atlantic and Southeast, and among the top 20 largest not-for-profit integrated health systems in the country, with 30,000 employees, 12 hospitals in Virginia and Northeastern North Carolina, and the Sentara Health Plans division which serves more than 1 million members in Virginia and Florida. Sentara is recognized nationally for clinical quality and safety, and is strategically focused on innovation and creating an extraordinary health care experience for our patients and members. Sentara was named to IBM Watson Health's "Top 15 Health Systems" (2021, 2018), and was recognized by Forbes as a "Best Employer for New Grads" (2022), "Best Employer for Veterans" (2022, 2023), and "Best Employer for Women" (2020).
Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth.
