Remote Insurance Verification Specialist I — Financial Clearance

Community Health Systems, Inc.; Fruitville (FL); Remote; USD 36,000 - 48,000; 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 (Medical)

Job summary

Community Health Systems, Inc. is seeking an Insurance Specialist I to verify insurance eligibility and benefits, ensure authorization requirements are met, and complete pre-registration for scheduled services.

This role supports financial clearance by educating patients on insurance coverage and responsibilities while maintaining accuracy and professionalism. The position is remote and requires strong knowledge of payor guidelines, proficiency with EMR and eligibility portals, and excellent

Qualifications

• Education: HS Diploma or GED required.
• 0-1 years in insurance verification, medical billing, or revenue cycle experience preferred.
• Strong knowledge of insurance plans, authorization requirements, and medical necessity guidelines.

Responsibilities

• Verifies insurance eligibility and benefits for scheduled services to ensure coverage and payor compliance.
• Calculates and communicates the patient’s estimated financial responsibility for scheduled services.
• Identifies and ensures authorization and referral requirements are met per payor guidelines.
• Validates and documents all authorizations and referrals according to policies.
• Reviews medical necessity of scheduled services based on payor criteria.
• Communicates with patients, physicians, and staff to resolve inquiries and ensure payor compliance.

Skills

Insurance knowledge

Authorization knowledge

Medical necessity guidelines

MS Office

EMR systems

Eligibility portals

Attention to detail

Communication skills

Multitasking

Education

HS Diploma or GED

Tools

MS Office Suite

Eligibility portals software

EMR systems

Job description

Community Health Systems, Inc. is seeking an Insurance Specialist I to verify insurance eligibility and benefits, ensure authorization requirements are met, and complete pre-registration for scheduled services.

This role supports financial clearance by educating patients on insurance coverage and responsibilities while maintaining accuracy and professionalism. The position is remote and requires strong knowledge of payor guidelines, proficiency with EMR and eligibility portals, and excellent