What are the responsibilities and job description for the Insurance Specialist II position at Shared Services Center - Sarasota?
Job Summary
(Full-Time, Remote)
An Insurance Specialist II is responsible for providing professional, accurate and timely insurance verification, ensuring authorization requirements are met per payor guidelines and preregistration for scheduled outpatient services. Additional responsibilities include accurate and timely notification of admission or observation status according to payor guidelines for inpatient and observation services, and accurate and timely indexing of all incoming orders.
As an Insurance Verification Specialist II at Community Health Systems, 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: A minimum of six months to a year of related experience is required.
- Education: High School Diploma or equivalent
- Computer Skills: To perform this job successfully, an individual should have knowledge of Word Processing software, Spreadsheet software and E-mail software
Preferred:
- Education: Associate’s Degree
Essential Duties and Responsibilities:
- Verify insurance eligibility and benefits for scheduled services or service being provided
- Accurate calculation of patient’s estimated responsibility for scheduled services
- Determination of authorization/referral requirements according to payor guidelines
- Validation of all authorizations/referrals according to established guidelines
- Determine if scheduled service is medically necessary according to payor guidelines
- Adherence to all documentation standards
- Maintain effective, professional communication with patients, physicians, medical office staff to ensure compliance with identified payor requirements
- Educate patients on insurance benefits and financial responsibility effectively
- Ability to perform all other duties as assigned or requested
- This is a remote position.
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 70 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.
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To Apply, please email bria_toney@chs.net
