Status: Full-time, permanent position (40 hours)
Work hours: 8am to 5pm EST, M-F
Location: This is a remote position in VA with quarterly travel to VA Beach office for priority meetings
Job responsibilities:
Processing requests for over mileage transportations requests/reimbursement/caregiver benefit in JIVA
Processing food and lodging requests as related to transportation request
Coordinating with members to identify providers within the 50-mile radius
Issuing administrative denials for services related with providers
Education
HS - High School Grad or Equivalent REQUIRED
Certification/Licensure
None required
Experience
Healthcare- Previous Experience REQUIRED
Health Plan, Medical and/or Behavioral Health experience preferred
Jiva or EHR/EMR experience preferred
Government Program or Commercial experience preferred
Sentara Health Plans provides health plan coverage to close to one million members in Virginia. We offer a full suite of commercial products including employee-owned and employer-sponsored plans, as well as Individual & Family Health Plans, Employee Assistance Programs and plans serving Medicare and Medicaid enrollees.
Our quality provider network features a robust provider network, including specialists, primary care physicians and hospitals.
We offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services—all to help our members improve their health.
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-82873
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Talroo-Health Plan
Keywords: Managed Care, MCO, Healthcare, Health Plan, Clinical, Patient Service Coordinator, Remote, Virginia, VA
We provide market-competitive compensation packages, inclusive of base pay, incentives, and benefits. The base pay rate for Full Time employment is:$16.92 - $25.38. Additional compensation may be available for this role such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.