Patient Services Coordinator

Sentara Hospitals • Norfolk, VA

7d • Remote

About The Position

Sentara Health is looking to hire a Remote Patient Service Coordinator. This is a remote position. The Patient Service Coordinator works in a collaborative role with Medicaid members and providers to improve health outcomes. Assists with gathering information for the health care team regarding barriers or other health information. Implements interventions to promote improved health and compliance with the recommended plan of care, as approved by the Health Care Team. This includes functions associated with screening for changes in health status, coaching for improved self-management, reminders of necessary testing as determined by clinical guidelines, and support of the professional clinical staff in Health Care Services. May serve as a key resource in supporting the clinical authorization processes, including insurance verification/obtaining pre-certification, scheduling, pre-registration, and order transmission. The purpose is to ensure maximum reimbursement and reduce denials related to incomplete insurance information and/or authorization. Maintains statistics and acts as a liaison between clinical testing sites and offices.

Requirements

• High School Diploma (required)
• Prior Healthcare experience (required)

Nice To Haves

• Insurance Verification
• Scheduling
• Authorization
• Behavioral Health

Responsibilities

• Works in a collaborative role with Medicaid members and providers to improve health outcomes.
• Assists with gathering information for the health care team regarding barriers or other health information.
• Implements interventions to promote improved health and compliance with the recommended plan of care, as approved by the Health Care Team.
• Supports professional clinical staff in Health Care Services.
• May serve as a key resource in supporting the clinical authorization processes, including insurance verification/obtaining pre-certification, scheduling, pre-registration, and order transmission.
• Ensures maximum reimbursement and reduces denials related to incomplete insurance information and/or authorization.
• Maintains statistics and acts as a liaison between clinical testing sites and offices.

Benefits

• 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
• Annual discretionary bonus if established system and employee eligibility criteria is met.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED