Medicare Authorization Specialist (Onsite/Remote - Local Candidates Only)

Medicare Authorization Specialist (Onsite/Remote - Local Candidates Only) at Christian Healthcare Ministries Medicare Authorization Specialist (Onsite/Remote - Local Candidates Only) at Christian Healthcare Ministries in Amherst, Ohio Posted in 10 days ago.

Type:

work-from-home

Job Description:

The Medicare Authorization Specialist supports the accuracy and efficiency of bill processing for senior members by reviewing, validating, and authorizing medical bills in alignment with CHM guidelines and Senior processes. This role ensures timely, compliant, and member-centered service while contributing to the overall effectiveness of the Member Care and Bill Processing team. The position plays a key role in upholding data integrity, supporting member inquiries, and advancing CHM's mission through compassionate and detail-oriented work.

WHAT WE OFFER

Compensation based on experience. Faith and purpose-based career opportunity! Fully paid health benefits Retirement and Life Insurance 12 paid holidays PLUS birthday Lunch is provided DAILY. Professional Development Paid Training

PRIMARY RESPONSIBILITIES

Medicare Bill Review & Authorization Reviews and validates Medicare Summary Notices (MSNs) and Explanations of Benefits (EOBs) for accuracy and completeness Authorizes medical bills in accordance with CHM guidelines and established standard operating procedures Member & Internal Support Serves as a point of contact for member and staff inquiries via phone and email, providing timely and accurate information Escalates complex or unresolved issues to the appropriate leadership level Data Accuracy & Documentation Ensures accuracy and integrity of data entered and maintained within systems Maintains organized and complete documentation to support compliance and audit readiness Operational Execution & Productivity Manages daily workload to meet productivity and quality standards Responds to correspondence and completes assigned tasks within established timelines Team Collaboration & Continuous Improvement Collaborates with team members and leadership to support departmental goals Identifies and communicates process improvement opportunities to enhance efficiency and accuracy

CORE COMPETENCIES & SKILLS

Attention to Detail & Accuracy Communication (Written & Verbal) Organizational & Time Management Problem Solving & Initiative Customer Service Orientation Confidentiality & Accountability Ability to model CHM's Core Values and Mission Statement in all interactions.

REQUIRED QUALIFICATIONS

High School Diploma or equivalent. Proficiency with Microsoft Office (Word, Excel, Outlook). Ability to maintain confidentiality and adhere to HIPAA standards. Strong organizational skills with the ability to meet deadlines.

REQUIRED QUALIFICATIONS

High School Diploma or equivalent required 1-2 years of administrative, healthcare, insurance, or billing-related experience preferred Proficiency in Microsoft Office (Excel, Word, Outlook) Experience reviewing medical billing documents (MSNs/EOBs) or similar documentation preferred About Christian Healthcare Ministries Founded in 1981, Christian Healthcare Ministries (CHM) is a health care sharing ministry for Christians. CHM is a nonprofit, voluntary cost-sharing ministry through which participating Christians meet each other's medical bills. The mission of CHM is to glorify God, show Christian love, and experience God's presence as Christians share each other's medical bills.