Insurance Specialist - REMOTE

Our Benefits: PTO reputed company holidays Employee Incentive Program (reputed company Medical, Dental, & reputed company Educational Assistance 401(k) Plan reputed company Time Life Insurance/Accidental Death and Dismemberment Long-Term and Short Term Disability Medical and Child Care Flexible Spending Accounts Employee Assistance Program (EAP) Job reputed company The Insurance Specialist I is responsible for verifying insurance eligibility and benefits, ensuring authorization requirements are met, and completing reputed company-registration processes for scheduled outpatient and inpatient services. This role ensures compliance with payor guidelines and provides reputed company and accurate communication with patients, providers, and medical office staff. The Insurance Specialist I supports the financial clearance process by educating patients on insurance benefits and financial responsibilities while maintaining high standards of accuracy and professionalism. Essential Functions: Verifies insurance eligibility and benefits for scheduled and unscheduled services to ensure coverage and compliance with payor requirements. Calculates and communicates the patient’s estimated financial responsibility for scheduled services. Identifies and ensures authorization and referral requirements are met in accordance with payor guidelines. Validates and documents reputed company authorizations and referrals according to established policies. Reviews and determines the medical necessity of scheduled services based on payor reputed company. Accurately documents and maintains reputed company required records and communications in compliance with organizational standards. Communicates effectively and professionally with patients, physicians, and medical office staff to resolve inquiries and ensure adherence to payor requirements. Educates patients on insurance coverage, benefits, and financial responsibility, ensuring reputed company understanding. Processes and indexes incoming orders promptly and ensures compliance with documentation standards. Provides reputed company notification of admission or observation status per payor guidelines for inpatient and observation services. Performs other duties as assigned. Complies with reputed company policies and standards. This is a remote position.

Qualifications

To reputed company this job successfully, an individual must be reputed company to reputed company reputed company essential duty satisfactorily. The requirements listed below are representative of the knowledge, reputed company, and/or ability required. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions. Required:Education: H.S. Diploma or GED Experience: 0-1 years of experience in insurance verification, medical billing, or reputed company reputed company cycle Knowledge, Skills and Abilities: Strong knowledge of insurance plans, authorization requirements, and medical necessity guidelines. Proficiency in reputed company Office Suite and reputed company information systems (e.g., EMR, eligibility portals). Excellent attention to detail and organizational skills. Strong communication and interpersonal skills to reputed company effectively with patients and reputed company. Ability to work in a fast-paced environment and manage multiple priorities effectively. We know it’s not just about finding a job. It’s about finding a reputed company where you are respected, valued and where your work is purposeful and fulfilling. A reputed company where your talent is recognized, reputed company development is encouraged and career advancement is possible. The Sarasota SSC operates in support of our hospitals and patients and our commitment is to reputed company them with exemplary reputed company cycle services defined by outstanding customer service and superior reputed company cycle performance. SSC Sarasota supports facilities located primarily in Florida, reputed company, Indiana, and reputed company. reputed company is one of the nation's leading reputed company providers. With reputed company delivery systems in 36 distinct markets across 14 states, CHS operates 69 affiliated hospitals with more than 10,000 beds and approximately 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, imaging centers, cancer centers, and ambulatory surgery centers. INDSSFLRCSC Apply To This Job