Patient Services Coordinator- Authorizations

Location
Norfolk, VA
Posted
Jun 01, 2018
Closes
Jun 29, 2018
Function
Nurse
Industry
Healthcare
Hours
Full Time
Job Description: Optima Health is hiring a Patient Services Coordinator
to join our Government Authorizations team in Norfolk, VA.
Hours/Shift:

Monday - Friday, 8am-5pm

Department/Position Overview:

The ideal candidate additionally having experience in maintaining notes/minutes/files and responding to telephone and written inquiries from both internal and external sources such as providers and health plan members. In addition, independent judgment skills and ability to prioritize and handle multiple time-sensitive requests is a must.

Additional key qualities desired are:
  • Excellent team player
  • MD office/urgent care setting
  • Familiar with medical pre-authorization process
  • Efficient time management
  • Energetic and flexible
  • Critical thinker and creative problem solver
  • Active listener
  • Medical terminology and familiarity with coding
  • Attention to detail
  • Experience communicating with physician office staff and patients
  • Clinical support, setting or hands on experience required.
  • Previous health insurance companies is a plus.


Division Highlights:

Optima Health offers a full suite of commercial health insurance products including employee-owned and employer-sponsored plans, as well as Individual and Family health plans, employee assistance plans and plans serving Medicare and Medicaid enrollees. We offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services.

As a nationally recognized provider of health plan coverage and innovative wellness programs, we live our mission “to improve health everyday.” This same commitment and dedication directs our philosophy as an employer. When you join Optima Health, you will experience our deep passion for heal and service excellence while benefiting from a culture of opportunity, learning, career growth, and support -every day. Optima Health is a service of Sentara Healthcare, so joining Optima is joining the Sentara Healthcare family.


Sentara Benefits:

Sentara employees strive to make our communities healthier places to live. We're setting the standard for medical excellence within a vibrant, creative, and highly productive workplace. For more information about our employee benefits, CLICK HERE!

Join our team, where we are committed to quality healthcare, improving health every day, and provide the opportunity for training, development, growth!

Patient Service Coordinator works in a collaborative role with all members of the professional health care team and with community service agencies to coordinate care for members to improve health outcomes. Assists with gathering information for the health care team regarding barriers or other health information. Implements the interventions to promote improved health and compliance with recommended plan of care, as approved by the Health Care Team. This includes functions associated with the screening for changes in health status, coaching for improved self-management, reminders of necessary testing as determined by clinical guidelines, and support of the professional clinical staff in Health Care Services.

Education Level
High School Grad or Equivalent

Experience
Required: Clinical - 2 years

Other
Keyword: Authorizations, Support, Admin, Patient Services, Member Services, Managed Care, Customer Service, Clinical

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