About the position
The position serves as a vital link between patients, primary care providers, specialty providers, and insurance companies. The primary responsibility is to coordinate the referral process initiated by primary care providers, ensuring that pre-authorization approvals for medications and other services are obtained as ordered by the healthcare provider. This role requires a solid understanding of medical terminology, as well as knowledge of Medicare, Medicaid, and various third-party payers. Candidates should have at least one year of experience in insurance verification and referral processing, with familiarity in using the EPIC system being preferred. Proficiency in computer usage and excellent organizational skills are essential for success in this role. Training for this position will consist of one week of remote instruction followed by three days of onsite training. Post-training, the role will require travel between multiple locations within the Hampton Roads area. Sentara will provide the necessary equipment for remote work, although candidates must have a reliable home internet connection. This position is part of a healthcare organization that values its employees and promotes a family-friendly culture, encouraging community involvement and offering numerous opportunities for professional development and growth. The organization is committed to improving health every day and aims to be the healthcare choice for the communities it serves.
Responsibilities
- Coordinate the referral process from primary care providers to specialty providers.
- Obtain pre-authorization approvals for drugs and other services as ordered by the provider.
- Serve as a direct link between patients, primary care providers, specialty providers, and insurance companies.
- Verify insurance information and process referrals efficiently.
- Utilize medical terminology in communications and documentation.
- Maintain excellent organizational skills to manage multiple tasks and priorities.
Requirements
- High School Graduate or equivalent required.
- One year of experience with insurance verification and referral processing preferred.
- Knowledge of Medicare, Medicaid, and third-party payers is essential.
- Familiarity with EPIC system preferred.
- Proficient in computer usage and software applications.
- Excellent organizational skills are necessary.
Nice-to-haves
- Experience in a healthcare setting is a plus.
- Strong communication skills to interact with patients and providers effectively.
Benefits
- Medical insurance
- Dental insurance
- Vision insurance
- Paid Time Off (PTO)
- Sick leave
- Tuition reimbursement
- 401k/403B retirement plans
- 401a retirement plan
- Performance Plus Bonus
- Career advancement opportunities
- Work perks and discounts
