About the role

  • Customer Service Representative at Sentara Health handling member inquiries via phone. Focusing on eligibility, benefits, claims issues with a commitment to service excellence.

Responsibilities

  • Handle all aspects of member/patient support, focusing on timely research and resolution of telephone inquiries
  • Manage incoming calls to address questions about member eligibility, plan prescription benefits, and claim payment issues
  • Resolve patient service needs such as updating billing information, establishing payment plans, resolving payment inquiries, and scheduling

Requirements

  • High school diploma or equivalent (Required)
  • 1+ year of customer service experience (healthcare or contact center environment preferred)
  • Experience assisting callers with eligibility/benefits, claims/payment resolution, billing updates, payment plans, and appointment scheduling
  • Proficiency with CRM/EMR or call-tracking systems; accurate call documentation and follow-through
  • Strong communication, de-escalation, and problem-solving skills; ability to manage a high call volume and meet performance KPIs
  • Commitment to accuracy, confidentiality, and HIPAA/privacy compliance.

Benefits

  • 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.

Job title

Customer Service Rep

Job type

Experience level

Junior

Salary

Not specified

Degree requirement

High School Diploma

Location requirements

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