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Award-winning: Sentara is a Virginia and Northeastern North Carolina based not-for-profit integrated healthcare provider that has been in business for over 131 years. Offering more than 500 sites of care including 12 hospitals, PACE (Elder Care), 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!
Sentara Health is seeking to hire a qualified individual to join our team as a Provider Relations Representative.
Position Status: Full-time, day shift
Position Location: Must visit provider groups and meetings at least twice a month in designated area. The rest of the time – work from home. Hiring for Northern Virginia, Richmond, OR Hampton Roads area.
Standard Working Hours: Monday – Friday, 8:00AM – 5:00PM
Overview
Responsible for developing and maintaining positive relationships with providers. Duties include, but are not limited to; periodic on-site visits, conducting provider seminars, communicating administrative changes, and facilitating resolution of non-routine claim issues and other billing questions. Coordinates and conducts provider training and develops and distributes provider network materials. Acts as a liaison between internal departments of Sentara Health Plans and the provider community
Education
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High school diploma or equivalent required
Certification/Licensure
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No specific certification or licensure requirements
Experience
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Healthcare experience – 3 years required
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Health insurance plans – 3 years required
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Experience with managing complex providers
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Preferred experience Medicare, Medicaid, and commercial insurance
Sentara 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.
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