via Workday
$Not specified
This position will assist members in locating new providers and help link them with recommended services after service denials. Administrative tasks will also be assigned as needed.
A high school diploma is required, along with experience in healthcare, preferably in behavioral health. No specific certification or licensure is mentioned.
City/State Virginia Beach, VA Work Shift First (Days) Overview: Sentara Health Plans is hiring a Patient Services Coordinator - Remote in Virginia Beach, VA! Status: Full-time, permanent position (40 hours) Standard working hours: 8am to 5pm EST, M-F Location: Hybrid position in Virginia Beach, VA. May include visits to members in the emergency department or IP hospital settings in the VA Beach area, and the rest of the time will be working from home. Overview This position will be responsible for assisting members with locating new providers if current providers move out of network, close or have to end services for some other reason. The position will also help call members who have received service denials and help link them with the recommended services by the doctor. They will also be responsible for administrative tasks as assigned. Education High School Diploma (Required) Certification/Licensure No specific certification or licensure requirements Experience Experience working in Healthcare Experience with behavioral health (preferred) Sentara 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! To apply, please go to www.sentaracareers.com and use the following as your Keyword Search: JR-90928 #Indeed Talroo - Health Plan Keywords: Health Plan, Healthcare, MCO, Managed Care, Remote, Virginia Beach, behavioral health, utilization management, Patient services coordinator Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down – $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development •Pet Insurance •Legal Resources Plan •Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met. Sentara Health is an equal opportunity employer and 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. In support of our mission “to improve health every day,” this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming. Sentara Health is a Virginia and Northeastern North Carolina based not-for-profit integrated healthcare provider that has been in business for over 131 years. Offering hundreds of sites of care including 12 hospitals, PACE, home health, hospice, medical groups, imaging services, therapy, outpatient surgery centers, and an 858,000 member health plan. The people of the communities that we serve have nominated Sentara “Employer of Choice” for over ten years. U.S. News and World Report has recognized Sentara as having the Best Hospitals for 15+ years. Sentara offers professional development and a continued employment philosophy!
This job posting was last updated on 12/11/2025