Insurance Specialist I
Community Health Systems
(Full-Time, Remote)
An Insurance Specialist I is responsible for providing professional, accurate and timely insurance verification, ensuring authorization requirements are met per payor guidelines and preregistration for scheduled outpatient services. Additional responsibilities include accurate and timely notification of admission or observation status according to payor guidelines for inpatient and observation services, and accurate and timely indexing of all incoming orders.
As an _Insurance Verification Specialist_ at Community Health Systems, you’ll play a vital role in supporting our purpose to help people get well and live healthier by providing safe, quality healthcare, building enduring relationships with our patients, and providing value for the people and communities we serve. Our team members enjoy a robust benefits package including health insurance, flexible scheduling, 401k and student loan repayment programs.
**Required:**
+ Experience: A minimum of six months to a year of related experience is required.
+ Education: High School Diploma or equivalent
+ Computer Skills: To perform this job successfully, an individual should have knowledge of Word Processing software, Spreadsheet software and E-mail software
**Preferred:**
+ Education: Associate’s Degree
**Essential Duties and Responsibilities:**
+ Verify insurance eligibility and benefits for scheduled services or service being provided
+ Accurate calculation of patient’s estimated responsibility for scheduled services
+ Determination of authorization/referral requirements according to payor guidelines
+ Validation of all authorizations/referrals according to established guidelines
+ Determine if scheduled service is medically necessary according to payor guidelines
+ Adherence to all documentation standards
+ Maintain effective, professional communication with patients, physicians, medical office staff to ensure compliance with identified payor requirements
+ Educate patients on insurance benefits and financial responsibility effectively
+ Ability to perform all other duties as assigned or requested
+ **This is a remote position.**
We know it’s not just about finding a job. It’s about finding a place where you are respected, valued and where your work is purposeful and fulfilling. A place where your talent is recognized, professional development is encouraged and career advancement is possible.
Community Health Systems is one of the nation’s leading healthcare providers. Developing and operating healthcare delivery systems in 40 distinct markets across 15 states, CHS is committed to helping people get well and live healthier. CHS operates 70 acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers and ambulatory surgery centers.
INDSSFLRCSC
To Apply, please email bria_toney@chs.net
Equal Employment Opportunity
This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to http://www.chs.net/serving-communities/locations/ to obtain the main telephone number of the facility and ask for Human Resources.
Confirm your E-mail: Send Email
All Jobs from Community Health Systems