Customer Service Representative III

Job Overview

Overview

Provide superior customer service for all areas as it pertains to research and resolution of telephone inquiries related to Plan benefits, eligibility, claim payment issues, or patient scheduling, referral, or billing issues. Provide quality service and customer satisfaction through effective communication and education. Supports the division's strategies specific to customer satisfaction. Serves as a resource and mentor to Customer Operations staff.
Assists Supervisors and Performance Measurement Analysts (PMAs) with researching and resolving service issues. Utilizes relevant critical, technical, functional skills to fulfill individual, departmental and organizational objectives. Identifies system and process issues and makes suggestions for improvement.; Knowledgeable in various software applications such as Word, Excel, Access. Assists with special projects and assignments. summary goes.

Education

• HS – High School Grad or Equivalent

Certification/Licensure

• No specific certification or licensure requirements

Experience

• 3 years customer service experience required
• 1 Year data entry experience

About Us

Sentara Health, an integrated, not-for-profit health care delivery system, celebrates more than 135 years in pursuit of its mission – “we improve health every day.” Sentara is one of the largest health systems in the U.S. Mid-Atlantic and Southeast, and among the top 20 largest not-for-profit integrated health systems in the country, with 34,000 employees, 12 hospitals in Virginia and Northeastern North Carolina including 10 hospitals with the prestigious Magnet recognition, and the Sentara Health Plans division which serves more than 1 million members in Virginia and Florida. Sentara is recognized nationally for clinical quality and safety, and is strategically focused on innovation and creating an extraordinary health care experience for our patients and members. Sentara was named a Health Quality Innovator of the Year (2024), was recognized by Forbes as “America’s Best-In-State Employer” (2024), “Best Employer for Veterans” (2022, 2023), and “Best Employer for Women” (2020), and named to IBM Watson Health’s “Top 15 Health Systems” (2021, 2018).

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