Job description
Sentara Health Plans is hiring a Remote Patient Services Coordinator
This position is Remote for candidates that live in Virginia's Tidewater Area: Isle of White, Suffolk, Chesapeake, Portsmouth, Norfolk, Virginia Beach, Newport News, Hampton, Williamsburg and the Eastern Shore
Job Description
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.
Minimum Qualifications:
High School Grad or Equivalent
2 Yrs. Clinical Experience
- High School Grad or Equivalent
- Clinical 2 years
- Microsoft Word
- Microsoft Excel
- Microsoft Office
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