Insurance Verification Specialist — Growth & Benefits

Community Health Systems, Inc.; Newport (TN); Presencial; USD 36.000 - 48.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Competitive pay

Medical, dental, vision, life coverage

PTO and illness benefits

401(k) with match

Career development opportunities

Licensure/certification reimbursement

Student loan support

Rewards and recognition programs

Collaborative culture

Descripción de la vacante

Community Health Systems, Inc. is seeking an Insurance Verification Representative in Newport, TN to verify patient insurance coverage, determine eligibility, and secure pre-authorizations.

The role collaborates with physician offices, case management, and financial counseling to support accurate reimbursements and minimize delays. The ideal candidate has experience with insurance verification, EHR systems, and revenue cycle workflows, and demonstrates strong communication while maintaining

Formación

• 0-2 years of experience in insurance verification, medical billing, or patient access in a healthcare setting required.
• 2-4 years of insurance verification experience in an acute care hospital or physician practice group preferred.
• Experience with electronic health records (EHR), insurance portals, and revenue cycle workflows preferred.

Responsabilidades

• Verifies insurance benefits, eligibility, and pre-determination requirements for all scheduled patients, ensuring accuracy and completeness before services are rendered.
• Coordinates with physician offices to obtain required pre-authorizations and pre-certifications, preventing reschedules or cancellations due to missing approvals.
• Confirms patient coverage for procedures and treatments, documenting insurance details, policy limitations, and reimbursement expectations.
• Initiates financial counseling for uninsured or underinsured patients, referring them to financial assistance programs or payment plan options.
• Accurately documents and updates patient records, including pre-certification numbers, eligibility details, and authorization statuses.
• Communicates effectively with patients and physician offices, providing clear information regarding insurance coverage, financial responsibilities, and payment expectations.
• Ensures timely entry of pre-registration documents into the electronic health record (EHR) and forwards them to the appropriate department.
• Maintains accurate department records, reports, and documentation, ensuring compliance with billing, regulatory, and facility policies.
• Identifies and resolves insurance discrepancies, proactively addressing issues that could result in billing errors or claim denials.
• Works collaboratively with case management, patient registration, and billing teams, ensuring seamless revenue cycle operations and optimized reimbursement.
• Performs other duties as assigned.
• Maintains regular and reliable attendance.
• Complies with all policies and standards.

Conocimientos

Insurance verification

Medical billing

Patient finance

Communication skills

HIPAA compliance

EHR proficiency

Educación

High School Graduate

Herramientas

EHR systems

Insurance portals

Billing software

Descripción del empleo

Community Health Systems, Inc. is seeking an Insurance Verification Representative in Newport, TN to verify patient insurance coverage, determine eligibility, and secure pre-authorizations.

The role collaborates with physician offices, case management, and financial counseling to support accurate reimbursements and minimize delays. The ideal candidate has experience with insurance verification, EHR systems, and revenue cycle workflows, and demonstrates strong communication while maintaining