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Referral Specialist I

Sentara Health Plans

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 or Hampton locations. 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) Epic experience (preferred) Keywords Talroo-Allied Health, Healthcare, 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 Pet Insurance Legal Resources Plan 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. Sentara Health is a Virginia and Northeastern North Carolina based not-for-profit integrated healthcare provider that has been in business for over 131 years. Offering hundreds of sites of care including 12 hospitals, PACE, home health, hospice, medical groups, imaging services, therapy, outpatient surgery centers, and an 858,000 member health plan. The people of the communities that we serve have nominated Sentara “Employer of Choice” for over ten years. U.S. News and World Report has recognized Sentara as having the Best Hospitals for 15+ years. Sentara offers professional development and a continued employment philosophy! #J-18808-Ljbffr Sentara Health Plans

Vacancy posted 3 days ago
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