ജോലി വിവരണം

About the Company

Sentara Healthcare is a large integrated health system serving communities across Virginia and other areas. It is known for delivering compassionate, high-quality care, backed by innovation, community engagement, and a patient-first approach. Through health plans, clinical services, specialists, primary care, and hospitals, the organization works to make healthcare more accessible and effective. Sentara Health Plans, a part of the organization, supports close to one million members through commercial, Medicare, and Medicaid coverage options. The company also promotes a family-friendly environment that values community participation, professional development, diversity, and inclusion.

About the Role

Sentara Healthcare is hiring a detail-focused Patient Services Coordinator for pre-authorization support on commercial plans. This is a full-time, permanent remote role based in Virginia. The position centers on managing prior authorization workflows, communicating with provider offices, and coordinating with nursing staff to review and monitor authorization requests. Because the role is largely phone-based, the coordinator will handle inbound calls from clinics and hospitals, confirm request receipt, and share status updates to keep the process moving smoothly. This opportunity is well suited to someone with healthcare experience, strong communication abilities, and the capacity to juggle multiple priorities in a busy environment.

Responsibilities

Receive and assess prior authorization requests for commercial insurance plans submitted by fax or online systems.
Send requests to nursing staff for clinical review and follow through on timely next steps.
Monitor authorization progress and keep records accurate and up to date.
Answer incoming calls from provider offices, clinics, and hospitals to verify request receipt and relay approval updates.
Work closely with healthcare providers to keep authorization processes running efficiently.
Follow organizational policies and healthcare regulations in every interaction.
Deliver courteous, professional, and service-oriented communication at all times.
Support additional administrative work related to patient authorization and documentation when needed.

Requirements

High school diploma or an equivalent credential is required.
Prior experience in a healthcare environment is required.
Experience with health plans is strongly preferred.
Background in a call center or other phone-based support setting is preferred.
Strong communication skills and the ability to manage several priorities at once are necessary.

Benefits

Medical, dental, and vision coverage.
Reimbursement of up to $10,000 for adoption, fertility, and surrogacy-related expenses.
Paid time off and sick leave.
Paid parental leave and family caregiver leave.
Emergency backup care support.
Short-term disability, long-term disability, and critical illness insurance.
Life insurance coverage.
401(k) and 403(b) retirement plans with employer match.
Tuition support of up to $5,250 per year, plus access to discounted education programs through Guild Education.
Student debt repayment bonus of up to $10,000.
Reimbursement for professional certifications and free CEU access.
Pet insurance and legal support resources.
Eligibility for annual discretionary bonuses based on performance and other qualifying factors.

Equal Opportunity

Sentara Healthcare is committed to equal employment opportunity and building a workforce that reflects a wide range of backgrounds and perspectives. The organization values a respectful, inclusive culture and does not discriminate on the basis of race, color, religion, sex, national origin, age, disability, sexual orientation, gender identity, or any other protected characteristic. It is also a tobacco-free workplace with a mission focused on improving health every day through equity, inclusion, and belonging.

Patient Services Coordinator - Remote