Claims Processor I - RemoteSentara Health Plan is currently hiring a Claims Processor I - Remote!Status: Full-time, permanent position (40 hours)Work hours: 8am to 5pm EST, M-FLocation: Candidates may work remotely in Virginia, North Carolina, Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Washington (state), West Virginia, Wisconsin, and Wyoming.Job ResponsibilitiesResponsible for all areas of customer service as it pertains to the acquisition and/or retention of members for Sentara Health Plan, Inc. This includes functions associated with the administration of all group information: processing of claims, interaction with members, providers and employers.Special reports and projects to include: initial review and analysis, recommendations, SBAR if assigned, Research Team monthly/quarterly reports if assigned, provider site visits/conference calls if assigned, and new technology testing as assigned.EducationHS - High School Grad or Equivalent REQUIREDCertifications/LicensesNone requiredExperience1 years of Administrative experience REQUIRED1 years Customer Service REQUIREDClaims experience preferredSentara 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!
Claims Processor I - Remote in norfolk at Unknown Company
This position is listed as full time and able to be worked remotely.