Remote Insurance Verification & Benefits Specialist

Community Health Systems, Inc.; United States; Remote; USD 36,000 - 54,000; Full time

Benefits offered by this job

Life Insurance

AD&D

Long-term disability

Short-term disability

Flexible spending accounts

EAP

PTO

Paid holidays

ICP

Medical insurance

Dental insurance

Vision insurance

Educational assistance

401(k)

Job summary

Community Health Systems, Inc. seeks an Insurance Specialist I to verify insurance eligibility and benefits, obtain required authorizations, and complete pre-registration for outpatient and inpatient services.

You will educate patients on financial responsibilities and support the financial clearance process with accurate payer communications. This remote role requires strong knowledge of payor guidelines, excellent communication, and meticulous documentation to ensure compliant, efficient

Qualifications

• Education: H.S. Diploma or GED.
• Experience: 0-1 years in insurance verification, medical billing, or healthcare revenue cycle.

Responsibilities

• Verifies insurance eligibility and benefits for scheduled and unscheduled services to ensure coverage and payor compliance.
• Calculates patient’s estimated financial responsibility for scheduled services.
• Ensures authorizations and referrals meet payor guidelines.
• Validates and documents authorizations and referrals per policy.
• Reviews medical necessity based on payor criteria.
• Maintains accurate records and communicates with patients and staff.
• Educates patients on coverage and financial responsibility.
• Processes and indexes incoming orders with proper documentation.
• Notifies admission status per payor guidelines for inpatient/observations.
• Performs other duties as assigned and complies with policies.
• This is a remote position.

Skills

Insurance plans

Authorization requirements

Medical necessity

MS Office

EMR systems

Attention to detail

Organizational skills

Communication skills

Interpersonal skills

Fast-paced environment

Education

High School Diploma or GED

Tools

Microsoft Office Suite

Healthcare IT systems

EMR

Job description

Community Health Systems, Inc. seeks an Insurance Specialist I to verify insurance eligibility and benefits, obtain required authorizations, and complete pre-registration for outpatient and inpatient services.

You will educate patients on financial responsibilities and support the financial clearance process with accurate payer communications. This remote role requires strong knowledge of payor guidelines, excellent communication, and meticulous documentation to ensure compliant, efficient