Responsible to assist the operations team with administrative duties and coordination of operational activities, and managing vendors information and insurance documentations, vendor onboarding, and other duties as assigned. Provides assistance to the team to ensure successful service delivery of the client needs. Performs a wide range of administrative and office support

Genesys empowers more than 7,500 organizations in over 100 countries to improve loyalty and business outcomes by creating the best experiences for customers and employees. Through Genesys Cloud, the #1 AI powered experience orchestration platform, Genesys delivers the future of CX to organizations of all sizes so they can provide empathetic, personalized experiences at sc

Responsible for the billing of insurance claims and/or the resolution of issues preventing the payment of outstanding accounts receivable, for assigned payer(s). Role requires a strong working knowledge of billing and collections with a demonstrated ability to resolve more complex billing edits and/or resolve more complex denials and payment delays. Demonstrates a strong

Coordinates activities for specific physician practices, including insurance verification/obtaining precertification, scheduling, pre registration, and order transmission (faxing). Purpose is to ensure maximum reimbursement and reduce denials related to incomplete insurance information and/or authorization. Maintains statistics and acts as liaison between clinical testing

Serves as the subject matter expert overseeing and directing a team responsible for care coordination activities, routinely assessing and monitoring member status, needs and progress. Accountable for leadership, education, and supporting execution of strategic direction for clinical operations. Ensures quality of care meets or exceeds regulatory standards and requirements

This role is a part of the population health leadership team and is responsible for leadership and oversight of effective implementation management and operational performance related to Value Based Care Contracts with Federal (CMS) and Commercial (ex. Humana, Aetna) payers. Acts as the operational lead to ensure that all state, federal, and contractual requirements are i

Leads, directs and manages high performance teams with accountability for operations, quality, customer service and success of assigned departments and product lines. Areas of responsibility are high volume and/or have significant strategic and financial impact on current and future success of Sentara Hospitals. Responsible for the coordination of the delivery of high qua

The Patient Access Rep III is responsible for all aspects of the patient registration process verifying patient identity, selecting the correct patient record, reviewing schedules and physician orders to register the patient for the appropriate service, scanning important documents such as insurance cards, ID's, Living Wills, and POAs and verifying/entering the patient's

Conducts data gathering, verification and analysis of practitioner applications and credentials for medical staff and affiliate appointment and privileges through both the Initial and Reappointment Application process. Responsible for maintaining all credentials files either in paper or electronic format, and maintains data in system wide database. Associates degree prefe

Under the direct supervision of a Pharmacy Team Coordinator, the pharmacy prior authorization coordinator (PAC) is responsible for supporting the Pharmacy Department's day to day operations for the call center and prior authorization cases for all lines of business (Medicaid, Medicare, Exchange and Commercial). At a minimum, the PAC provides knowledgeable and courteous cu

The Healthcare Data Analyst provides data analysis support to the customer by assisting with the development of reports and/or dashboards (via data mining and summarization) to monitor program and operational performance. Promotes self service analytics for customer adoption, understanding and use of data. Supports design of programmatic analyses and reporting capabilitie

Manages staff and provides on site supervision for daily operations, coordination of work, quality and service issues. Provides patient care staff assignments, coordinates quality improvement activities, resolution of customer service issues, resource utilization, and liaison activities in support of facility administrators. Serve as a resource to staff to ensure the qual

Assumes responsibility, accountability and leadership for the daily operations including coordination of work, quality, and service. First line supervisor in the Department of Medical Care Management for assigned site/function. Facilitates the work of assigned team members. Provides a leadership role in ongoing case manager competency assessment, needs identification and

Build relationships with patients, physicians and co workers by providing "world class" service and is the first point of contact, ambassador and concierge for 200 patients. Utilize sales skills to retain patients in the practice and to acquire new patients after the initial enrollment period. Maintain superior patient provider relationships and the highest quality of car

Leads, directs and manages cardiac service lines with accountability for operations, quality, customer service and success of assigned departments and product lines. Areas of responsibility are high volume and/or have significant strategic and financial impact on current and future success of Sentara Hospitals. Responsible for the coordination of the delivery of high qual