Provider Appeals Coordinator/CPC/CCS- Remote in Virginia or Florida!
Sentara HealthNorfolk, Virginia, United States • Florida, United States
Posted November 25, 2025
Full Time
About the Company
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.
Job Description
Sentara Health Plans is hiring an Appeal Coordinator- Remote in Virginia and Florida! The role is responsible for investigating and documenting member appeals and grievances in compliance with State law, applicable rules and regulations, and provider and group agreements.
Requirements
- HS - High School Grad or Equivalent REQUIRED
- Certified Professional Coder (CPC) and Certified Coding Specialist (CCS) from the American Health Information Management Association (AHIMA)
- Managed Care- 3 years REQUIRED
- Previous provider appeals experience preferred
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
- Annual discretionary bonus