Provider Customer Service Rep

Job Description : City / StateVirginia Beach, VA Overview Work ShiftSwing Shift (United States of America) Sentara is hiring a Provider Customer Service Representative for the Sentara Health Plans Department. Position Status : Full-time, Day Shift Standard Working Hours : Monday - Friday, 8 : 00AM to 5 : 00PM Position Location : Work from home and two days a month in office at our corporate office in Virginia Beach. Sentara will provide the equipment. High-speed internet is required. REQUIRED ONSITE TRAINING up to six months on-site at our corporate office in Virginia Beach. After successful completion of training, this opportunity will be hybrid with two days a month in office. Minimum Requirements : High School Diploma or equivalent Two years of Customer Service experience Experience with provider call center highly preferred High Volume call center experience preferred Epic EMR experience preferred Data entry skills Must be available for a 03 / 17 / 2025 start date Responsibilities : Responsible for all areas of customer service as it pertains to research and resolution of telephone inquiries related to Plan prescription benefits, eligibility or claim payment issues. Primarily responsible for handling incoming calls to effectively address eligibility, claim, and payment issues or to address and perform patient scheduling and referral work. Provide quality service and customer satisfaction through effective communication and education. Benefits : Sentara offers an attractive array of full-time benefits to include Medical, Dental, Vision, Paid Time Off, Sick, Tuition Reimbursement, a 401k / 403B, 401a, Performance Plus Bonus, Career Advancement Opportunities, Work Perks, and more. 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! Keywords : health plans, call center, CSR, customer service representative, provider, Ziprecruiter, Indeed Job Summary Responsible for all areas of customer service as it pertains to research and resolution of telephone inquiries related to Plan prescription benefits, eligibility or claim payment issues. Primarily responsible for handling incoming calls to effectively address eligibility, claim, and payment issues or to address and perform patient scheduling and referral work. Provide quality service and customer satisfaction through effective communication and education.Pre-employment screening required. Qualifications : HS - High School Grad or Equivalent (Required) Customer Service, Data Entry Skills Sentara Healthcare 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. Per Clinical Laboratory Improvement Amendments (CLIA), some clinical environments require proof of education; these regulations are posted at ecfr.gov for further information. In an effort to expedite this verification requirement, we encourage you to upload your diploma or transcript at time of application. In support of our mission "to improve health every day," this is a tobacco-free environment.