Sentara Health Plans is currently recruiting for a Full-Time, Customer Service Representative 1

This position is hybrid remote in the Richmond, VA area.

Primarily responsible for handling incoming calls to effectively address member inquiries. Ability to work in a fast-paced environment to assist members with requests including but not limited to proof of coverage, benefit inquiries, and claims review.

Job Requirements

• High School Grad or Equivalent
• Healthcare 1 year required
• Data Entry Previous Experience
• Pre-employment screening required

Benefits: Sentara offers an attractive array of full-time benefits including Medical, Dental, Vision, Paid Time Off, Sick, Tuition Reimbursement, a 401k/403B, Performance Plus Bonus, Career Advancement Opportunities, Work Perks, and more. Sentara recognizes our employees by offering:

• Comprehensive health care plans
• Generous paid annual leave
• 401a/401k/403b plan
• Long and short-term disability
• Tuition Reimbursement
• Flex spending and life insurance
• You can expect employee recognition, performance rewards, plus countless services and programs to enhance work/life balance.

Sentara Health Plan is the health insurance division of Sentara Healthcare doing business as Optima Health and Virginia Premier.

Sentara Health Plans provides health insurance coverage through a full suite of commercial products including consumer-driven, employee-owned and employer-sponsored plans, individual and family health plans, employee assistance plans, and plans serving Medicare and Medicaid enrollees.

With more than 30 years’ experience in the insurance business and 20 years’ experience serving Medicaid populations, 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.

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, join the Sentara Team!

Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth.

keywords: data entry, customer service, health plan, healthcare

Primarily responsible for handling incoming calls to effectively address eligibility, claim, and payment issues. May be required to provide off-phone assistance to customers and department leadership. Ability to work in a fast-paced environment to assist callers and update billing information, establish payment plans, screen callers for financial assistance, and resolve charge and payment inquiries. Ability to work in a fast-paced contact center handling incoming calls pertaining to payment resolution and patient inquiries. Must possess good listening skills and be able to communicate verbally with callers in a clear, concise, and professional manner. A total of one year of experience across one or more of the following areas: healthcare setting billing or resolving insurance accounts receivable, adjudicating insurance claims, pre-registering or registering patients for healthcare services, handling inbound calls in a customer service call center, or providing customer service to the general public in a non-healthcare setting. A healthcare certification from an accredited program or an Associate or Bachelor degree may be substituted for one year of experience.

• High School Grad or Equivalent

• Healthcare 1 year

• Reading Comprehension
• Mathematics
• Coordination
• Communication
• Active Listening
• Active Learning
• Writing
• Time Management
• Technology/Computer
• Speaking
• Social Perceptiveness
• Service Orientation