CHS Career Site

The Remote Medical Customer Service Specialist responds to customer inquiries and resolves issues through various communication channels. They document interactions in the CRM system and adhere to quality standards and performance metrics. | A high school diploma or GED is required, with an associate degree preferred. Candidates should have 1-2 years of customer service experience, preferably in a call center environment. | Job Summary The Remote Medical Customer Service Specialist serves as the initial point of contact for customers, addressing inquiries, resolving issues, and delivering high-quality service to ensure a positive customer experience. This entry-level role requires excellent communication skills, attention to detail, and the ability to manage a variety of customer requests through multiple channels, including phone, email, and chat. The Representative works in a performance-driven environment, adhering to established service metrics and standards, while collaborating with other departments to ensure timely and effective resolution of customer concerns. As a Customer Service Specialist at Community Health Systems (CHS) - Shared Services, you’ll 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 medical, dental, and vision insurance, paid time off (PTO), 401(k) with company match, tuition reimbursement, and more. The orientation hours are Monday- Friday for approximately two weeks: 8:00am-5:00pm. Then, the training hours are Monday- Friday: 8:00am-2:30pm CST. After training, the working hours are Monday-Thursday: 7:00am-2:00pm CST and Friday: 7:00am-1:30pm CST. Essential Functions Responds to customer inquiries through phone, email, chat, or other communication channels, providing accurate and timely information. Clarifies and resolves customer issues by identifying their needs, determining root causes, and implementing effective solutions. Escalates complex or unresolved issues to appropriate team members or departments, ensuring prompt follow-up and resolution. Provides triage support for common issues related to platforms, applications, and back-office processes. Documents all interactions accurately and thoroughly in the customer relationship management (CRM) system, ensuring detailed records of inquiries and resolutions. Adheres to quality standards and key performance indicators (KPIs), including productivity, response times, and customer satisfaction ratings. Delivers exceptional customer service by maintaining professionalism, patience, and a customer-focused attitude in all interactions. Contributes to a team-oriented work environment by sharing insights, offering assistance, and collaborating effectively with peers and supervisors. Performs other duties as assigned. Complies with all policies and standards. This is a fully remote opportunity. Qualifications H.S. Diploma or GED required Associate Degree or some college coursework in a related field preferred 1-2 years of customer service experience required, preferably in a call center or help desk environment required Familiarity with CRM software and customer service tools preferred Knowledge, Skills and Abilities Strong verbal and written communication skills, with the ability to clearly convey information and resolve customer concerns. Proficient in using computer systems, including Microsoft Office Suite and CRM platforms. Excellent problem-solving and critical-thinking abilities. Ability to manage multiple tasks and prioritize effectively in a fast-paced environment. Detail-oriented with a strong focus on accuracy and quality. Demonstrated ability to work independently and as part of a team. Strong interpersonal skills and the ability to build rapport with customers and colleagues. 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. This position is not eligible for immigration sponsorship now or in the future. Applicants must be authorized to work in the U.S. for any employer.

The Insurance Specialist I verifies insurance eligibility and benefits, ensuring authorization requirements are met and completing pre-registration processes for outpatient and inpatient services. This role involves educating patients on insurance benefits and financial responsibilities while maintaining compliance with payor guidelines. | A high school diploma or GED is required, along with 0-1 years of experience in insurance verification, medical billing, or healthcare revenue cycle. Strong knowledge of insurance plans and proficiency in Microsoft Office Suite are essential. | Job Summary The Insurance Specialist I is responsible for verifying insurance eligibility and benefits, ensuring authorization requirements are met, and completing pre-registration processes for scheduled outpatient and inpatient services. This role ensures compliance with payor guidelines and provides timely 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. As an Insurance Specialist I at Community Health Systems (CHS) - SSC Sarasota, you’ll 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 medical insurance, dental insurance, vision insurance, PTO, 401K, sick time, holidays, and bonus where eligible. 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 all authorizations and referrals according to established policies. Reviews and determines the medical necessity of scheduled services based on payor criteria. Accurately documents and maintains all 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 clear understanding. Processes and indexes incoming orders promptly and ensures compliance with documentation standards. Provides timely notification of admission or observation status per payor guidelines for inpatient and observation services. Performs other duties as assigned. Complies with all policies and standards. Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Required: Education: H.S. Diploma or GED Experience: 0-1 years of experience in insurance verification, medical billing, or healthcare revenue cycle Knowledge, Skills and Abilities: Strong knowledge of insurance plans, authorization requirements, and medical necessity guidelines. Proficiency in Microsoft Office Suite and healthcare information systems (e.g., EMR, eligibility portals). Excellent attention to detail and organizational skills. Strong communication and interpersonal skills to interact effectively with patients and healthcare professionals. 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 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. The Sarasota SSC operates in support of our hospitals and patients and our commitment is to provide them with exemplary revenue cycle services defined by outstanding customer service and superior revenue cycle performance. SSC Sarasota supports facilities located primarily in Florida, Georgia, Indiana, and Pennsylvania. 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. INDSSFLRCSC