Medical Benefits Verification Supervisor
As a Benefit Verification Supervisor at Community Health Systems Shared Services Center, youll 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. The working hours are Monday- Friday, 8:00am-4:30pm CST, with additional hours based on business needs.
The Benefit Verification/Authorizations Supervisor, under the direction of the Benefits/Authorizations Director, ensures that each applicable team within Pre-Arrival verifies benefit coverage, performs medical necessity verification, and determines estimated patient financial responsibility for scheduled outpatient services in a timely manner. This position will support our Shared Services Center and client hospitals around the country for a wide variety of payers, service lines, and patient types by providing top-notch support to the entire revenue cycle.
Required Experience:
1+ years of supervisory experience including medical revenue cycle areas such as registration, Pre-Arrival, billing, follow-up, and/or denial resolution.
Preferred Experience:
3+ years of supervisory experience in a healthcare setting, preferably revenue-cycle focused.
Essential Duties and Responsibilities:
Responsible for oversight of the Pre-Arrival Departments Benefit Verification and Authorization teams, providing professional, accurate, timely insurance verification and notification for outpatient diagnostic, observation, and inpatient services. (30%)
Oversees front end facility conference calls; documents and distributes materials to appropriate parties. (20%)
Responsible for following up on any questions and concerns from facilities through written communication and ensuring all associates are notified of process improvement or additional education needed. Provides professional, accurate, and timely root cause summary reviews. (20%)
Ensures any required disciplinary action documentation is accurate and complete, issues to employees and maintains confidentiality. (10%)
Responsible for maintaining performance standards that ensure the department is operating at peak proficiency and that established goals are consistently being met while maintaining effective communication with physicians, medical office staff, facilities, and departments. (10%)
Works 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%)
This is a fully remote opportunity
We know its not just about finding a job. Its 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 nations 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.
Apply Now
The Benefit Verification/Authorizations Supervisor, under the direction of the Benefits/Authorizations Director, ensures that each applicable team within Pre-Arrival verifies benefit coverage, performs medical necessity verification, and determines estimated patient financial responsibility for scheduled outpatient services in a timely manner. This position will support our Shared Services Center and client hospitals around the country for a wide variety of payers, service lines, and patient types by providing top-notch support to the entire revenue cycle.
Required Experience:
1+ years of supervisory experience including medical revenue cycle areas such as registration, Pre-Arrival, billing, follow-up, and/or denial resolution.
Preferred Experience:
3+ years of supervisory experience in a healthcare setting, preferably revenue-cycle focused.
Essential Duties and Responsibilities:
Responsible for oversight of the Pre-Arrival Departments Benefit Verification and Authorization teams, providing professional, accurate, timely insurance verification and notification for outpatient diagnostic, observation, and inpatient services. (30%)
Oversees front end facility conference calls; documents and distributes materials to appropriate parties. (20%)
Responsible for following up on any questions and concerns from facilities through written communication and ensuring all associates are notified of process improvement or additional education needed. Provides professional, accurate, and timely root cause summary reviews. (20%)
Ensures any required disciplinary action documentation is accurate and complete, issues to employees and maintains confidentiality. (10%)
Responsible for maintaining performance standards that ensure the department is operating at peak proficiency and that established goals are consistently being met while maintaining effective communication with physicians, medical office staff, facilities, and departments. (10%)
Works 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%)
This is a fully remote opportunity
We know its not just about finding a job. Its 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 nations 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.
Apply Now