Job Description
Position Overview:
We are seeking a highly skilled and detail-oriented Remote Medical Benefit Verification Specialist to join our team at Community Health Systems. As a vital member of our Shared Services Center, you will play a crucial role in supporting our mission to provide safe, quality healthcare and build enduring relationships with our patients and communities.
Key Responsibilities:
- Provide professional, accurate, and timely insurance verification and notification for outpatient diagnostic services, observation, and inpatient services
- Verify insurance eligibility, benefits, and preauthorization/precertification/referral guidelines following the 16 components of verification
- Ensure thorough documentation of account activity in our computer system and maintain accurate records
- Communicate and educate patients and physician practices to ensure compliance with identified payor requirements
- Validate referrals, pre-certification, and authorizations for scheduled services and resolve any issues that may arise
- Calculate patient estimated portions and notify patients of their responsibilities prior to scheduled appointments
What We Offer:
- Competitive salary and robust benefits package, including health insurance, flexible scheduling, 401k, and student loan repayment programs
- Opportunity to work remotely and maintain a healthy work-life balance
- Professional development and career advancement opportunities
- Collaborative and supportive team environment
- Recognition and rewards for outstanding performance
Requirements:
- High school diploma or equivalent required
- Minimum 1 year of hospital/physician business office experience, including knowledge of collections, EOB processing, and billing
- Preferred 2 years of experience in a medical facility, ambulatory surgery facility, or acute-care hospital working with insurance verification
What We're Looking For:
We are seeking a reliable, detail-oriented, and customer-focused individual who is passionate about delivering exceptional patient care and support. If you are a team player with excellent communication skills and a willingness to learn, we encourage you to apply for this exciting opportunity.
Ready to Join Our Team?
Apply now to become a part of our dynamic team and take the first step towards a fulfilling and purposeful career in healthcare. Apply Now
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