Remote Insurance Reimbursement Specialist

As a Remote Insurance Reimbursement Specialist at Community Health Systems – Shared Services Center, you’ll play a vital role in supporting our purpose to help people get well and live healthier by providing safe, quality healthcare, and 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. The Remote Insurance Reimbursement Specialist position is remote and full time, which is 40 hours per week. The orientation, training and working hours will be Monday-Friday from 8:00am-4:30pm CST (CST time zone). There may be occasional overtime.  At the end of every month, you may be required to work longer hours than normal. If the end of month day(s) falls on a weekend, it may require working late on Friday or during the weekend. Furthermore, there may be additional dates that will be provided by leadership that would be required based on business needs. 

Required Experience:

• 1 year of experience in healthcare revenue cycle or business office.

Preferred Experience:

• 2 years of experience in healthcare revenue cycle or business office.

Essential Duties and Responsibilities:

• Uses various methods (phone, web, fax, e-mail) of contacting insurance payers and/or responsible entities to obtain claim status on submitted and unresolved claims. (40%)
• Research patient accounts to ensure account integrity, using all available resources and tools (i.e., payer websites, contracts, and internal references). Use critical thinking skills to resolve account denials and payer barriers.  (25%)
• Take appropriate actions toward account resolution and appropriate balance. This may include actions such as facilitating interdepartmental communication, posting adjustment requests, and providing requested information to insurance payers and/or responsible entities. (20%)
• Utilize internal computer systems and applications to thoroughly and professionally document all actions taken to reach resolution on an account.  (10%)
• Communicate daily with management about payer trends identified. (5%)

• 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.

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