Remote Insurance Verification Specialist I

Community Health Systems; United States; Remote; USD 40,000 - 52,000; Full time

Benefits offered by this job

PTO

Paid holidays

Group Medical, Dental, & Vision

Educational Assistance

401(k) Plan

Sick Time

Life Insurance/AD&D

Long-Term Disability

Short Term Disability

Flexible Spending Accounts (FSA)

Job summary

Community Health Systems is seeking an Insurance Specialist I for a remote role. This position verifies insurance eligibility and benefits, educates patients on financial responsibilities, and ensures timely authorization and pre-registration for outpatient and inpatient services.

You will communicate with patients, providers, and office staff while maintaining accuracy and professionalism. The role supports financial clearance processes, ensures payor compliance, and handles documentation per

Qualifications

• Education: HS Diploma or GED.
• 0–1 year experience in insurance verification or healthcare revenue cycle.
• Proficient with EMR systems and eligibility portals.
• Strong attention to detail and communication skills.

Responsibilities

• Verify insurance eligibility and benefits for scheduled and unscheduled services to ensure coverage and payor compliance.
• Calculate and communicate patient’s estimated financial responsibility for scheduled services.
• Ensure authorization and referral requirements are met per payor guidelines.
• Validate and document all authorizations and referrals per policy.
• Review medical necessity of services based on payor criteria.
• Maintain all required records and communications per organizational standards.
• Educate patients on insurance coverage, benefits, and financial responsibility.
• Notify admission or observation status per payor guidelines for inpatient/observation services.

Skills

Insurance knowledge

MS Office

EMR systems

Attention to detail

Communication skills

Multitasking

Education

High School Diploma or GED

Tools

Eligibility portals

EMR system

Job description

Community Health Systems is seeking an Insurance Specialist I for a remote role. This position verifies insurance eligibility and benefits, educates patients on financial responsibilities, and ensures timely authorization and pre-registration for outpatient and inpatient services.

You will communicate with patients, providers, and office staff while maintaining accuracy and professionalism. The role supports financial clearance processes, ensures payor compliance, and handles documentation per