Medicare Authorization Specialist (Onsite/Hybrid - Local Candidates Only)
Christian Healthcare Ministries
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 Share 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 TrainingPRIMARY RESPONSIBILITIES
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 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 Ensures accuracy and integrity of data entered and maintained within systems Maintains organized and complete documentation to support compliance and audit readiness Manages daily workload to meet productivity and quality standards Responds to correspondence and completes assigned tasks within established timelines Collaborates with team members and leadership to support departmental goals Identifies and communicates process improvement opportunities to enhance efficiency and accuracyCORE COMPETENCIES & SKILLS
Attention to Detail & Accuracy 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 Experience reviewing medical billing documents (MSNs/EOBs) or similar documentation preferred 1–2 years of administrative, healthcare, insurance, or billing‑related experience 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. #J-18808-Ljbffr Christian Healthcare Ministries- ...Referral & Authorization Specialist (Hybrid in NE Ohio) Function as a liaison between... ...requirements for Medicare, Medicaid, commercial insurance... ...position can be remote - local Northeast Ohio candidates only as there is a requirement to be onsite occasionally Equal...Local areaRemote work
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