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Award-winning: Sentara is a Virginia and Northeastern North Carolina based not-for-profit integrated healthcare provider that has been in business for over 131 years. Offering more than 500 sites of care including 12 hospitals, PACE (Elder Care), home health, hospice, medical groups, imaging services, therapy, outpatient surgery centers, and an 858,000 member health plan. The people of the communities that we serve have nominated Sentara “Employer of Choice” for over ten years. U.S. News and World Report has recognized Sentara as having the Best Hospitals for 15+ years. Sentara offers professional development and a continued employment philosophy!
Sentara is hiring a Provider Customer Service Representative for the Sentara Health Plans Department.
Position Status: Full-time, Day Shift
Standard Working Hours: Monday – Friday, 8:00AM to 5:00PM
Position Location: Work from home and two days a month in office at our corporate office in Virginia Beach. Sentara will provide the equipment. High-speed internet is required.
REQUIRED ONSITE TRAINING up to six months on-site at our corporate office in Virginia Beach. After successful completion of training, this opportunity will be hybrid with two days a month in office.
Minimum Requirements:
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High School Diploma or equivalent
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Two years of Customer Service experience
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Experience with provider call center highly preferred
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High Volume call center experience preferred
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Epic EMR experience preferred
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Data entry skills
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Must be available for a 03/17/2025 start date
Responsibilities:
Responsible for all areas of customer service as it pertains to research and resolution of telephone inquiries related to Plan prescription benefits, eligibility or claim payment issues. Primarily responsible for handling incoming calls to effectively address eligibility, claim, and payment issues or to address and perform patient scheduling and referral work. Provide quality service and customer satisfaction through effective communication and education.
Benefits: Sentara offers an attractive array of full-time benefits to include Medical, Dental, Vision, Paid Time Off, Sick, Tuition Reimbursement, a 401k/403B, 401a, Performance Plus Bonus, Career Advancement Opportunities, Work Perks, and more.
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!
Keywords: health plans, call center, CSR, customer service representative, provider, Ziprecruiter, Indeed
When you join Sentara in a professional or management role, you become part of a progressive team of business leaders and operational experts. Our organization and our people are highly respected for the knowledge and innovation that we demonstrate each day. Working with us is an opportunity to have a positive influence on our growth and the communities we serve.
Culture In Action
At Sentara, our differences are our strengths. The unique backgrounds, skills, and experiences that each Sentara colleague brings to work are what make Sentara special and what allows us to deliver excellent service and care to our patients, members, and communities.
Sentara 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.
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