Must be available to start on 11/10/2025.
Position Status: Full-time, permanent (40 hours/week)
Standard Working Hours: Must be able to work between the hours of 8:00AM to 4:30PM
Position Location: This is a remote position and you must be located near Sentara Independence (Virginia Beach, VA). You must be able to travel on-site for training, for connectivity issues, or as needed for meetings, etc.
Job responsibilities:
Responsible for all areas of customer service as it pertains to research and resolution of telephone inquiries from members or patients. Primarily responsible for handling incoming calls to effectively address issues related to either member eligibility, plan prescription benefits, and claim payment issues or patient services needs such as updating billing information, establishing payment plans, resolving payment inquiries, or patient scheduling.
Education:
High school diploma or equivalent REQUIRED
Certification/Licensure:
No specific certification or licensure requirements
Experience:
Minimum 2 years Customer Service experience REQUIRED
Previous data entry experience REQUIRED
Experience in a high volume call center preferred
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.
Sentara Health, an integrated, not-for-profit health care delivery system, celebrates more than 135 years in pursuit of its mission - "we improve health every day." Sentara is one of the largest health systems in the U.S. Mid-Atlantic and Southeast, and among the top 20 largest not-for-profit integrated health systems in the country, with 34,000 employees, 12 hospitals in Virginia and Northeastern North Carolina, including 10 hospitals with the prestigious Magnet®️ recognition, and the Sentara Health Plans division which serves more than 1 million members in Virginia and Florida. Sentara is recognized nationally for clinical quality and safety and is strategically focused on innovation and creating an extraordinary health care experience for our patients and members. Sentara was named a Health Quality Innovator of the Year (2024), was recognized by Forbes as "America’s Best-In-State Employer” (2024), "Best Employer for Veterans" (2022, 2023), and "Best Employer for Women" (2020), and named to IBM Watson Health's "Top 15 Health Systems" (2021, 2018).
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-86980
#Indeed
Talroo-Allied Health
Health Plan, Healthcare, Health Insurance, SMG, Medical Group, Clinic, Customer service, EPIC, Medicare, Medicaid, MCO, Managed Care, Call center, high volume, medical terminology, insurance verification
We provide market-competitive compensation packages, inclusive of base pay, incentives, and benefits. The base pay rate for Full Time employment is:$16.35 - $23.08. Additional compensation may be available for this role such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.