Customer Service Representative 1

Virginia Beach, VA – First shift (Days)

About the role

Sentara Health is seeking a full-time remote Customer Service Representative. This position is fully remote but limited to candidates in Virginia or North Carolina. Occasional on-site travel may be required to resolve connectivity issues. Standard working hours are 8:00 AM to 5:30 PM.

The Customer Service Representative I handles incoming calls to research and resolve member or patient inquiries related to eligibility, plan prescription benefits, claim payments, billing updates, payment plans, payment inquiries, and patient scheduling. The role focuses on delivering quality service and customer satisfaction through effective communication and education.

Responsibilities

• Research and resolve telephone inquiries from members or patients regarding eligibility, prescription benefits, and claim payment issues.
• Address patient service needs, including updating billing information, establishing payment plans, resolving payment inquiries, and scheduling.
• Provide clear communication and education to ensure customer satisfaction.

Requirements

• High school diploma or equivalent.
• Two years of customer service experience.
• Previous data entry experience.

Preferred Qualifications

• Experience in a high-volume call center.

Benefits

• Medical, dental, and vision plans.
• Adoption, fertility, and surrogacy reimbursement up to $10,000.
• Paid time off and sick leave.
• Paid parental and 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.
• Pet insurance.
• Legal resources plan.
• Opportunity to earn an annual discretionary bonus if system and employee eligibility criteria are met.