About The Company
Sentara Healthcare is a leading integrated healthcare organization dedicated to providing high-quality, compassionate care to communities across Virginia and beyond. With a focus on innovation, community involvement, and patient-centered services, Sentara aims to improve health every day through comprehensive health plans, advanced clinical services, and a strong commitment to diversity and inclusion. The organization boasts a robust network of healthcare providers, including specialists, primary care physicians, and hospitals, ensuring accessible and efficient healthcare delivery. Sentara Health Plans, a division of Sentara Healthcare, serves nearly one million members with a wide range of commercial, Medicare, and Medicaid plans. The organization fosters a family-friendly culture that encourages community involvement, professional growth, and a commitment to excellence in healthcare services.
About The Role
Sentara Healthcare is seeking a dedicated and detail-oriented Patient Services Coordinator - Pre-Authorization for Commercial plans to join our team remotely in Virginia. This full-time, permanent position involves supporting prior authorization processes for commercial insurance plans. The role requires effective communication with provider offices, managing requests via fax or online platforms, and coordinating with nursing staff to review and track authorization statuses. This is a phone-based role where you will handle inbound calls from clinics and hospitals, confirming receipt of requests and providing timely updates to ensure smooth processing. The ideal candidate will possess a strong healthcare background, excellent communication skills, and the ability to manage multiple tasks efficiently in a fast-paced environment. The position offers an opportunity to contribute to a reputable healthcare organization committed to improving patient outcomes and member satisfaction.
Qualifications
Sentara Healthcare is an equal opportunity employer committed to fostering a diverse and inclusive workforce. We celebrate diversity and are dedicated to creating an environment where all employees feel valued, respected, and empowered. We do not discriminate based on race, color, religion, sex, national origin, age, disability, sexual orientation, gender identity, or any other protected status. We believe that a diverse workforce enhances our ability to serve our communities effectively and innovatively. Sentara Healthcare is a tobacco-free organization and supports our mission to improve health every day by promoting a culture of equity, inclusion, and belonging.
Sentara Healthcare is a leading integrated healthcare organization dedicated to providing high-quality, compassionate care to communities across Virginia and beyond. With a focus on innovation, community involvement, and patient-centered services, Sentara aims to improve health every day through comprehensive health plans, advanced clinical services, and a strong commitment to diversity and inclusion. The organization boasts a robust network of healthcare providers, including specialists, primary care physicians, and hospitals, ensuring accessible and efficient healthcare delivery. Sentara Health Plans, a division of Sentara Healthcare, serves nearly one million members with a wide range of commercial, Medicare, and Medicaid plans. The organization fosters a family-friendly culture that encourages community involvement, professional growth, and a commitment to excellence in healthcare services.
About The Role
Sentara Healthcare is seeking a dedicated and detail-oriented Patient Services Coordinator - Pre-Authorization for Commercial plans to join our team remotely in Virginia. This full-time, permanent position involves supporting prior authorization processes for commercial insurance plans. The role requires effective communication with provider offices, managing requests via fax or online platforms, and coordinating with nursing staff to review and track authorization statuses. This is a phone-based role where you will handle inbound calls from clinics and hospitals, confirming receipt of requests and providing timely updates to ensure smooth processing. The ideal candidate will possess a strong healthcare background, excellent communication skills, and the ability to manage multiple tasks efficiently in a fast-paced environment. The position offers an opportunity to contribute to a reputable healthcare organization committed to improving patient outcomes and member satisfaction.
Qualifications
- High School Diploma or equivalent (required)
- Experience working in healthcare settings (required)
- Health plan experience (highly preferred)
- Experience handling calls in a call center or similar phone-based environment (preferred)
- Proficiency in managing multiple priorities and excellent communication skills
- Support prior authorization processes for commercial insurance plans by receiving and reviewing requests via fax or online systems
- Route requests to nursing staff for review and ensure timely follow-up
- Track the status of authorization requests and maintain accurate documentation
- Handle inbound calls from provider offices, clinics, and hospitals to confirm receipt of requests and provide updates on approval status
- Coordinate with healthcare providers to facilitate smooth authorization workflows
- Ensure compliance with organizational policies and healthcare regulations during all interactions
- Maintain a high level of professionalism and customer service in all communications
- Assist with administrative tasks related to patient authorization and documentation as needed
- Comprehensive medical, dental, and vision insurance plans
- Reimbursement for adoption, fertility, and surrogacy expenses up to $10,000
- Paid time off and sick leave to promote work-life balance
- Paid parental and family caregiver leave
- Emergency backup care services
- Long-term, short-term disability, and critical illness insurance plans
- Life insurance coverage
- 401(k)/403(b) retirement plans with employer matching
- Tuition assistance up to $5,250 annually and access to discounted educational programs through Guild Education
- Student debt repayment bonus of up to $10,000
- Reimbursement for professional certifications and free access to continuing education units (CEUs)
- Pet insurance and legal resources plans
- Opportunity to earn annual discretionary bonuses based on performance and eligibility
Sentara Healthcare is an equal opportunity employer committed to fostering a diverse and inclusive workforce. We celebrate diversity and are dedicated to creating an environment where all employees feel valued, respected, and empowered. We do not discriminate based on race, color, religion, sex, national origin, age, disability, sexual orientation, gender identity, or any other protected status. We believe that a diverse workforce enhances our ability to serve our communities effectively and innovatively. Sentara Healthcare is a tobacco-free organization and supports our mission to improve health every day by promoting a culture of equity, inclusion, and belonging.