Patient Services Coordinator- Pre-Authorization for Commercial - Remote in Virginia
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 Apply tot his job Apply To this Job