Key Facts

Remote From:

United States

Full time

Junior (1-2 years)

English

Hard Skills

Data Validation Bariatrics Quality Assessment

Other Skills

•
Scheduling
•
Problem Solving
•
Customer Service
•
Collaboration

Roles & Responsibilities

High School Diploma (required)
1 year of customer service experience (required)
Medical Terminology (preferred)
Gastro/ Bariatrics background (preferred)

Requirements:

Act as a liaison between providers, patients, insurance companies, and clinical departments to schedule patients.
Verify insurance eligibility through the real-time eligibility (RTE) tool or pre-register patients.
Manage orders within assigned work queues.
Collaborate effectively with internal and external customers to reach desired results.

Sentara Healthcare

About Sentara Healthcare

Sentara Health celebrates a 130-year history of innovation, compassion, and community benefit. Based in Norfolk, VA, Sentara is a diverse not-for-profit family of 12 hospitals, an array of integrated services, and a team of nearly 30,000 strong on a mission to improve health every day. This is pursued through a disciplined strategy to achieve Top 10% performance in key measures through shared best practices, transformation of primary care through clinical integration and strategic growth that adds value to the communities we serve in Virginia and North Carolina. Like us on Facebook at www.facebook.com/sentarahealth Follow us on Instagram at @SentaraHealth

Company type: XLarge

Founded: 2018

Company size: 10001

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Job description

City/State

Virginia Beach, VA

Work Shift

First (Days)

Overview:

Sentara Independence in Virginia Beach is looking to hire a Referral Specialist for our CAC Department.

Position location: This is a remote position; however, candidates must be able to travel on-site when connectivity or power outage occurs to our Sentara Independence location in Virginia Beach.

The Referral Specialist will perform at least one of the following functions: act as a liaison between the providers, patients, insurance companies, and clinical departments to schedule patients, verify insurance eligibility, and transcribe orders. Specialists are responsible for managing orders within their assigned work queues.

Key Responsibilities: Responsible for scheduling patients, confirms insurance eligibility through the real-time eligibility (RTE) tool, or pre-registering patients. Validates accuracy of data when performing these functions.

Other Requirements: Consistently meets turnaround requirements for job functions. Consistently meets required department adherence and quality metrics. Requires knowledge of proper scheduling procedures, call handling, or preregistration requirements. Accountable to problem solve, investigate and help resolve problems for work assignments. Must collaborate effectively with internal and external customers to reach desired results as determined by key performance indicators and leadership.

Education:

· High School Diploma (required)

Experience:

· 1 year of customer service experience (required)

· Medical Terminology (preferred)

· Gastro/ Bariatrics background (preferred)

· Epic experience (preferred)

Keywords: Talroo-Allied Health, Healthcare, Gastro, Bariatrics, Customer Service, Scheduling, Insurance Eligibility, Quality Score Cards, Epic

Benefits: Caring For Your Family and Your Career

• Medical, Dental, Vision plans

• Adoption, Fertility and Surrogacy Reimbursement up to $10,000

• Paid Time Off and Sick Leave

• Paid Parental & Family Caregiver Leave

• Emergency Backup Care

• Long-Term, Short-Term Disability, and Critical Illness plans

• Life Insurance

• 401k/403B with Employer Match

• Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education

• Student Debt Pay Down – $10,000

• Reimbursement for certifications and free access to complete CEUs and professional development

• Pet Insurance

• Legal Resources Plan

• Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met

Sentara Independence provides quality outpatient services to the surrounding community. The facility includes an ambulance-accessible emergency room that is supported by board-certified physicians. Sentara Independence houses state-of-the-art medical equipment and highly-skilled physicians and staff. Sentara Independence is now an extension of the quality services at Sentara Virginia Beach General Hospital including advanced imaging and physical therapy.

Sentara Health is an equal opportunity employer and 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.

In support of our mission “to improve health every day,” this is a tobacco-free environment.

For positions that are available as remote work, Sentara Health employs associates in the following states:

Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

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