What are the responsibilities and job description for the Benefit Verification Specialist – Authorization position at Shared Services Center - Fort Smith?
As a Benefit Verification Specialist – Authorization at Community Health Systems – Fort Smith, you’ll 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. Our team members enjoy a robust benefits package including health insurance, flexible scheduling, 401k and student loan repayment programs.
Required Experience:
- 1 years of medical office or healthcare facility experience
Essential Duties and Responsibilities:
- Initiate/obtain/validate all necessary referrals, notifications, pre-certification, and/or pre-authorizations for scheduled services. (40%)
- Verify that documents are valid for the scheduled service being performed, date of service, and the correct facility. (20%)
- Identify pre-authorizations/pre-certifications/referrals that are not valid and contact insurance payors to verify/validate requirements to ensure accuracy and avoid potential denials. Further, contacting ordering physician office, if necessary, to have the pre-authorization updated, resubmitted, or withdrawn. (10%)
- Maintain effective communication with facilities, physicians, medical office staff, and all appropriate departments, utilizing department approved scripting. (10%)
- Work with technology necessary to complete job effectively. This includes, but is not limited to, phone technology, applicable host systems, web applications, and scanning technology. (10%)
- Responsible for maintaining performance standards that ensure the department is operating at peak proficiency and that established goals are consistently met as well as the ability to perform all other duties as assigned or requested while adhering to strict deadlines. (10%)
- This is a fully remote opportunity.
We know it’s not just about finding a job. It’s about finding a place where you are respected, valued and where your work is purposeful and fulfilling. A place where your talent is recognized, professional development is encouraged and career advancement is possible.
Community Health Systems is one of the nation’s leading healthcare providers. Developing and operating healthcare delivery systems in 40 distinct markets across 15 states, CHS is committed to helping people get well and live healthier. CHS operates 71 acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers and ambulatory surgery centers.
