Reconciliation Coordinator

City/State

Virginia Beach, VA

Overview

Work Shift

First (Days) (United States of America)

Sentara is hiring a Referral & Reconciliation Coordinator for the Clinical Access Centralized Scheduling Department.

Position Status: Full-time, Day Shift

Standard Working Hours: Monday - Friday, 8:00AM to 4:30PM

Position Location: Remote work in Blue Ridge area of Virginia ONLY. Sentara will provide the equipment. High-speed internet is required. If internet is out must travel on site to work at one of the following locations:

• RMH Atrium - 2000 Beery Road, Harrisonburg, VA

• Martha Jefferson hub -- 590 Peter Jefferson Parkway, Charlottesville, VA

Minimum Requirements:

• High School Diploma or equivalent

• One year of Health Plans experience Required

• Medical terminology preferred. Knowledge of Medicare, Medicaid and third-party payers.

• One year of experience with insurance verification/referral processing.

• Knowledge of EPIC.

• Proficient in use of computers and excellent organizational skills.

Responsibilities:

Provides a direct link between patients, primary care providers, specialty providers, and insurance companies. Coordinates referral process from primary care providers as well as pre-authorization approvals for drugs and other services as ordered by provider.

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: Indeed, Talroo-Allied Health, Monster, LinkedIn, scheduler, scheduling, referral, appointment, medical receptionist, healthcare administrative, call center, CSR, customer service representative, insurance verification, claim

Job Summary

Provides a direct link between patients, primary care providers, specialty providers, and insurance companies. Coordinates referral process from primary care providers as well as pre-authorization approvals for drugs and other services as ordered by provider.

Medical terminology preferred. Knowledge of Medicare, Medicaid and third party payers. One year of experience with insurance verification/referral processing preferred. Knowledge of EPIC preferred. Proficient in use of computers and excellent organizational skills.

Qualifications:

HS - High School Grad or Equivalent (Required)

Health Insurance Plans

Skills

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.

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