Patient Services Coordinator (Remote)

Sentara
United States, Virginia, Petersburg
Jan 28, 2025
City/State Glen Allen, VA Overview Work Shift First (Days) (United States of America) Sentara Health is now hiring a Patient Services Coordinator (Remote)! This is a full-time & 100% remote position within Virginia. Job Location Virginia remote Shift First Day shift (8 AM to 5 PM EST Mon - Fri) Type Fulltime Hours 40 hours a week Job Description The patient Service Coordinator works in a collaborative role with all members of the professional healthcare 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 the 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, and 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. Minimum Qualifications Required Required to have a High School Graduation Diploma or Equivalent Required to have a minimum of 2 years work experience in a clinical setting Data entry experience Good Typing skills This role is fully remote within Virginia. Keywords Data entry, JIVA, healthcare #Talroo - Healthplan #Talroo #LinkedIn 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 Microsoft Excel, Microsoft Office, Microsoft Word 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.