Other Health Insurance (OHI) Associate - Remote

City/State Norfolk, VA Work Shift First (Days) Overview: Sentara Health Plans is recruiting for an Other Health Insurance (OHI) Associate - Remote! Status: Full-Time, permanent position (40 hours) Standard working hours: 8am to 5pm EST, M-F. Location: Remote opportunities available in the following states: Virginia, North Carolina, Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington (state), West Virginia, Wisconsin, Wyoming Job Description Summary: Other Health Insurance (OHI) Associate is responsible for researching, verifying, maintaining, and updating member Other Health Insurance (OHI) information to ensure accurate coordination of benefits, claims processing, and enrollment records. Primary Responsibilities Research, verify, and update member OHI information. Validate OHI for Sentara Commercial, Medicare, and Medicaid members. Determine the Payer Order between coverages. Investigate OHI inquiries. Complete assigned work queues within SLA requirements. Participate in user training and knowledge share sessions, and retain and apply Education: High School Diploma or GED REQUIRED Experience: 2 years of Health Plan Claims Disbursements REQUIRED Preferred Qualifications Knowledge of OHI Businesses. Experience in insurance, enrollment, claims, customer service, or data-entry experience. Proficiency with Microsoft Office products - Strong attention to detail and problem-solving skills. Experience with QNXT, Facets, CSC, or similar healthcare systems. Healthcare payer or managed care experience. Knowledge, Skills, and Abilities Healthcare insurance knowledge Data integrity and accuracy focus Critical thinking skills Attention to Detail Accuracy and Timeliness Strong communication skills with the ability to engage on phone calls for research and resolution o