Patient Services Coordinator- Remote in VA!

Company: Sentara Health
Location: Virginia Beach
Posted on: March 12, 2025

Job Description:

City/State
Virginia Beach, VA

Overview

Work Shift
First (Days) (United States of America)

Sentara Healthcare is currently hiring an Patient Services Coordinator- Remote in VA!

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:

• Patient Service Coordinator works in a collaborative role with all members of the professional health care team and with community service agencies to coordinate care for members to improve health outcomes.
  
• Assists with gathering information for the health care team regarding barriers or other health information.
  
• Implements the interventions to promote improved health and compliance with recommended plan of care, as approved by the Health Care Team. This includes functions associated with the 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, coordinating linkage between members, primary care providers, specialty providers and other insurance companies. Includes supporting the referral process from providers, as well as pre-authorization approvals for medications and other services as ordered/requested by providers.
  
• May provide other general administrative functions such as drafting correspondences, scheduling appointments, organizing and maintaining records and files, and providing assistance to members.
  
  
  
  Job Requirements :
  
  • Required: HS - High School Grad or Equivalent
    
  • Required: Clinical- 2 years
    
    
    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.
    
    Sentara Health Plans is the health insurance division of Sentara Healthcare.
    
    Sentara Health Plans provides health insurance coverage through a full suite of commercial products including consumer-driven, employee-owned and employer-sponsored plans, individual and family health plans, employee assistance plans and plans serving Medicare and Medicaid enrollees.
    
    With more than 30 years' experience in the insurance business and 20 years' experience serving Medicaid populations, 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-69969
    
    # Ziprecruiter
    
    Talroo-Health Plan
    
    Keywords: Managed Care, MCO, Healthcare, Health Plan, Clinical, Patient Service Coordinator, Remote, Virginia, VA
    
    Job Summary
    
    Patient Service Coordinator works in a collaborative role with all members of the professional health care team and with community service agencies to coordinate care for members to improve health outcomes. Assists with gathering information for the health care team regarding barriers or other health information. Implements the interventions to promote improved health and compliance with recommended plan of care, as approved by the Health Care Team. This includes functions associated with the 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, coordinating linkage between members, primary care providers, specialty providers and other insurance companies. Includes supporting the referral process from providers, as well as pre-authorization approvals for medications and other services as ordered/requested by providers. May provide other general administrative functions such as drafting correspondences, scheduling appointments, organizing and maintaining records and files, and providing assistance to members.
    
    Qualifications:
    
    HS - High School Grad or Equivalent (Required)
    
    Clinical
    
    Skills
    
    Communication, Critical Thinking, Microsoft Office, Service Orientation, Troubleshooting, Writing
    
    Sentara Healthcare 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.
    
    Per Clinical Laboratory Improvement Amendments (CLIA), some clinical environments require proof of education; these regulations are posted at ecfr.gov for further information. In an effort to expedite this verification requirement, we encourage you to upload your diploma or transcript at time of application.
    
    In support of our mission "to improve health every day," this is a tobacco-free environment.

Keywords: Sentara Health, Virginia Beach , Patient Services Coordinator- Remote in VA!, Other , Virginia Beach, Virginia