Customer Service Rep IV

City/State

Work Shift

Overview:

Overview

Responsible for all areas of customer service as it pertains to the acquisition and/or retention of members within the health plan or customer access as it relates to patient scheduling and referral within the Access Center. Performs routine & complex servicing of operational issues for providers, members, benefit administrators (Bas), brokers, or provider practices. Serves as the subject matter expert in customer operations for benefit administration, claims, pharmacy issues, group set up, enrollment, billing, broker commission or access and referral issues if within the Access Center. Responsible for root cause analysis and trending of repeat service issues as they pertain to strategic initiatives with particular focus on easy to do business with (ETDBW) initiatives. Works with leadership to implement processes that support ETDBW initiatives.

Acts as the team leader in support of Customer Service Rep teams.

5 years' experience in customer service, health plan claims, marketing, pharmacy tech, OR sales is required.

Education

HS Diploma required

Certification/Licensure

None required

Experience

5 years' experience in customer service, health plan claims, marketing, pharmacy tech, OR sales is required.

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Sentara Independence provides quality outpatient services to the surrounding community. The facility includes an ambulance-accessible emergency room that is supported by board-certified physicians. Sentara Independence houses state-of-the-art medical equipment and highly-skilled physicians and staff. Sentara Independence is now an extension of the quality services at Sentara Virginia Beach General Hospital including advanced imaging and physical therapy.

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.