Insurance Verification Specialist

1 day ago

Antioch, Tennessee, United States Community Health System Full time
About the Role

We are seeking a highly skilled Insurance Verification Specialist to join our team at Community Health Systems. As an Eligibility Representative, you will play a vital role in supporting our purpose to help people get well and live healthier by providing safe, quality healthcare, building enduring relationships with our patients, and providing value for the people and communities we serve.

Key Responsibilities
  • Verify detailed insurance benefits, medical necessity, and authorization/referral guidelines, consistently prioritizing and following established verification processes.
  • Communicate outstanding documentation requests, required account follow-up, and payor issues to the appropriate facility contacts.
  • Maintain performance standards that ensure the department is operating at peak proficiency and that established goals are consistently being met while maintaining effective communication with patients, physicians, medical office staff, and both internal and external co-workers.
  • Calculate the estimated patient financial responsibility via the estimation tool.
  • Notate all actions performed in the applicable host system(s) immediately.
  • Perform all other duties, as assigned or requested, while adhering to strict deadlines.
  • Meet productivity standards (there is a potential quarterly bonus structure in place for high performers).
About the Opportunity

This is a full-time, onsite position in the Eligibility Screening Services Department. The schedule for this position is Monday - Friday, 8:00am - 4:30pm.

What We Offer
  • A robust benefits package including health insurance, flexible scheduling, 401k, and student loan repayment programs.
  • A supportive and collaborative work environment.
  • Opportunities for professional development and career advancement.

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