Community Health Systems

Coordinate and monitor interconnected IT projects, develop strategies, manage budgets and risks, and report on performance. | Minimum 8-10 years of proven program management experience, PMP certification, and specific experience with PACS/CPACS and Diagnostic Imaging implementations. | **Job Description** We are looking for an experienced Program Manager to organize and coordinate IT programs. You will provide strategic guidance to project teams in ways that promote our OCIO framework and standards throughout the project lifecycle. The ideal candidate will have experience in managing projects of different disciplines to produce results in a timely manner. They will also be able to develop efficient strategies and tactics. This role will have no direct reports. • *Responsibilities** + Formulate, organize and monitor inter-connected projects + Decide on suitable strategies and objectives per the project scope and OCIOframework and standards + Coordinate cross-project activities + Develop and control deadlines, budgets and activities + Apply change, risk and resource management + Assess program performance and aim to maximize quality + Resolve projects’ higher scope issues + Prepare reports for business partners and steering team committees + Identify, monitor and mitigate risk based on PMI standards • *Requirements and Skills** + Eight to ten years of proven experience as a Program Manager + PACS or CPACS Implementation Experience + Experience with Diagnostic Imaging Implementation + PMP certified + Thorough understanding of project/program management techniques and methods per the PMI standards + Excellent Knowledge of risk and change management principles + Working Knowledge of ServiceNow and/or MS Project + Outstanding organizational skills + Excellent communication skills + Excellent problem-solving ability + BSc/BA diploma in management or a relevant field; MSc/MA is a plus + Minimum GPA: 3.0 Equal Employment Opportunity This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to http://www.chs.net/serving-communities/locations/ to obtain the main telephone number of the facility and ask for Human Resources. • *Job Description** We are looking for an experienced Program Manager to organize and coordinate IT programs. You will provide strategic guidance to project teams in ways that promote our OCIO framework and standards throughout the project lifecycle. The ideal candidate will have experience in managing projects of different disciplines to produce results in a timely manner. They will also be able to develop efficient strategies and tactics. This role will have no direct reports. • *Responsibilities** + Formulate, organize and monitor inter-connected projects + Decide on suitable strategies and objectives per the project scope and OCIOframework and standards + Coordinate cross-project activities + Develop and control deadlines, budgets and activities + Apply change, risk and resource management + Assess program performance and aim to maximize quality + Resolve projects’ higher scope issues + Prepare reports for business partners and steering team committees + Identify, monitor and mitigate risk based on PMI standards • *Requirements and Skills** + Eight to ten years of proven experience as a Program Manager + PACS or CPACS Implementation Experience + Experience with Diagnostic Imaging Implementation + PMP certified + Thorough understanding of project/program management techniques and methods per the PMI standards + Excellent Knowledge of risk and change management principles + Working Knowledge of ServiceNow and/or MS Project + Outstanding organizational skills + Excellent communication skills + Excellent problem-solving ability + BSc/BA diploma in management or a relevant field; MSc/MA is a plus + Minimum GPA: 3.0 Equal Employment Opportunity This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to http://www.chs.net/serving-communities/locations/ to obtain the main telephone number of the facility and ask for Human Resources.

Handle customer inquiries, resolve issues, and ensure high-quality service across multiple channels. | Requires 1-2 years of customer service experience, familiarity with customer service software, and good communication skills. | **Benefits** As a Customer Service Rep at Northwest Health - LaPorte Group you’ll join a team and be a part of a culture that's dedicated to providing top quality care to our patients. Our full-time employees enjoy a robust benefits package which may include health insurance, 401(k), licensure/certification reimbursement, tuition reimbursement, and student loan assistance for eligible roles. • *Job Summary** The Customer Service Representative is responsible for handling customer inquiries, resolving issues, and providing a positive service experience across multiple communication channels, including phone, email, chat, and in-person interactions. This role requires strong problem-solving skills, professionalism, and attention to detail to ensure timely resolution of customer concerns while maintaining high service standards. • *Essential Functions** + Responds to customer inquiries via phone, email, live chat, and written correspondence, ensuring a courteous and professional interaction. + Handles inbound calls from both internal and external customers, creating service cases and documenting all interactions accurately. + Demonstrates empathy and active listening skills to understand customer concerns and provide appropriate resolutions. + Researches and resolves customer complaints, billing issues, and service-related concerns in accordance with company policies and procedures. + Accurately updates and maintains customer records and case notes in the system, ensuring complete documentation of issues and resolutions. + Works collaboratively with internal departments to escalate and resolve complex issues, ensuring a seamless customer experience. + Provides appropriate solutions and alternatives within service timeframes, following up to ensure issue resolution and customer satisfaction. + Meets and maintains productivity and service quality standards, ensuring efficiency in handling customer interactions. + Performs other duties as assigned. + Maintains regular and reliable attendance. + Complies with all policies and standards. • *Qualifications** + Associate Degree or coursework in Business, Communications, or a related field preferred + 1-2 years of experience in customer service, call center, or administrative support required • *Knowledge, Skills and Abilities** + Working knowledge of Google Suite, ServiceNow or similar ticketing platform, soft phone software, willingness to learn enterprise wide (ERP) such as Oracle or similar. + Strong verbal and written communication skills, ensuring clear and professional interactions. + Ability to handle high call volumes and multi-task across different customer service platforms. + Strong problem-solving skills with the ability to resolve customer concerns efficiently and effectively. + Proficiency in customer service software, CRM systems, and Microsoft Office applications. + Ability to remain calm and professional in high-stress situations while de-escalating customer concerns. + Strong attention to detail in data entry, documentation, and customer interactions. + Ability to work independently and as part of a collaborative team in a fast-paced environment. Equal Employment Opportunity This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to http://www.chs.net/serving-communities/locations/ to obtain the main telephone number of the facility and ask for Human Resources. • *Benefits** As a Customer Service Rep at Northwest Health - LaPorte Group you’ll join a team and be a part of a culture that's dedicated to providing top quality care to our patients. Our full-time employees enjoy a robust benefits package which may include health insurance, 401(k), licensure/certification reimbursement, tuition reimbursement, and student loan assistance for eligible roles. • *Job Summary** The Customer Service Representative is responsible for handling customer inquiries, resolving issues, and providing a positive service experience across multiple communication channels, including phone, email, chat, and in-person interactions. This role requires strong problem-solving skills, professionalism, and attention to detail to ensure timely resolution of customer concerns while maintaining high service standards. • *Essential Functions** + Responds to customer inquiries via phone, email, live chat, and written correspondence, ensuring a courteous and professional interaction. + Handles inbound calls from both internal and external customers, creating service cases and documenting all interactions accurately. + Demonstrates empathy and active listening skills to understand customer concerns and provide appropriate resolutions. + Researches and resolves customer complaints, billing issues, and service-related concerns in accordance with company policies and procedures. + Accurately updates and maintains customer records and case notes in the system, ensuring complete documentation of issues and resolutions. + Works collaboratively with internal departments to escalate and resolve complex issues, ensuring a seamless customer experience. + Provides appropriate solutions and alternatives within service timeframes, following up to ensure issue resolution and customer satisfaction. + Meets and maintains productivity and service quality standards, ensuring efficiency in handling customer interactions. + Performs other duties as assigned. + Maintains regular and reliable attendance. + Complies with all policies and standards. • *Qualifications** + Associate Degree or coursework in Business, Communications, or a related field preferred + 1-2 years of experience in customer service, call center, or administrative support required • *Knowledge, Skills and Abilities** + Working knowledge of Google Suite, ServiceNow or similar ticketing platform, soft phone software, willingness to learn enterprise wide (ERP) such as Oracle or similar. + Strong verbal and written communication skills, ensuring clear and professional interactions. + Ability to handle high call volumes and multi-task across different customer service platforms. + Strong problem-solving skills with the ability to resolve customer concerns efficiently and effectively. + Proficiency in customer service software, CRM systems, and Microsoft Office applications. + Ability to remain calm and professional in high-stress situations while de-escalating customer concerns. + Strong attention to detail in data entry, documentation, and customer interactions. + Ability to work independently and as part of a collaborative team in a fast-paced environment. Equal Employment Opportunity This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to http://www.chs.net/serving-communities/locations/ to obtain the main telephone number of the facility and ask for Human Resources.

Perform advanced maintenance, repairs, and installations on healthcare facility systems ensuring safety and compliance. | High school diploma, 2-4 years facilities maintenance experience, certifications in HVAC, electrical, or plumbing preferred, valid driver's license, and ability to operate specialized equipment. | **Job Summary** The Maintenance Technician II ensures the functionality, safety, and compliance of healthcare facility systems and equipment by performing advanced maintenance tasks, repairs, and installations. This role requires expertise in troubleshooting and maintaining mechanical, electrical, and plumbing systems, as well as hospital-specific equipment. The Maintenance Technician II responds to urgent issues, and may assist in supervising entry-level technicians to support the operational efficiency of the facility. • *What We Offer:** + Competitive Pay + Medical, Dental, Vision, and Life Insurance + Generous Paid Time Off (PTO) + Extended Illness Bank (EIB) + Matching 401(k) + Opportunities for Career Advancement + Rewards & Recognition Programs + Exclusive Discounts and Perks* • *Essential Functions** + Troubleshoots and performs repairs on mechanical, electrical, and plumbing systems, as well as hospital-specific equipment. + Responds to work request or trouble calls and pages in a timely and professional manner without valid written complaints. + Ensures all maintenance activities meet safety regulations and hospital standards (e.g., OSHA, NFPA, Joint Commission). + Addresses urgent repair requests and resolve critical issues, minimizing disruptions to hospital operations. + Performs regular inspections and maintain the condition of hospital buildings and infrastructure. + Keeps accurate records of maintenance activities, work orders, and equipment performance for management reporting. + Assists with budget management, and track and order necessary maintenance supplies and parts. + Maintains detailed logs of maintenance work, service reports, and equipment status for management oversight. + Quickly addresses and resolves critical maintenance issues to minimize disruptions to hospital operations and patient care. + Performs other duties as assigned. + Complies with all policies and standards. • *Qualifications** + H.S. Diploma or GED required + Associate Degree or certification in Facilities Maintenance, HVAC, Electrical, Plumbing, or a related technical field preferred + 2-4 years of experience in facilities maintenance, engineering, or related roles required + 3-5 years of experience in facilities maintenance, engineering, or related roles in a hospital or healthcare setting preferred • *Knowledge, Skills and Abilities** + Strong knowledge of building systems (HVAC, electrical, plumbing, medical gas systems). + Proficient in troubleshooting and repair techniques. + Ability to read and interpret technical manuals, blueprints, and schematics. + Strong problem-solving and critical-thinking skills. + Excellent communication skills for interacting with hospital staff, vendors, and contractors. + Ability to perform operations on high pressure boilers, emergency generators, and fire alarm panes in an emergency. • *Licenses and Certifications** + DL NUMBER - Driver License, Valid and in State required + Licensed Steam Boiler and Refrigeration within the first six (6) months of employment required + CPI - Nonviolent Crisis Prevention & Intervention Training preferred + Certification in HVAC, electrical, or plumbing systems preferred • *State Specific Requirements** + Georgia: CPI - Nonviolent Crisis Prevention & Intervention Training certification required. INDNC Equal Employment Opportunity This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to http://www.chs.net/serving-communities/locations/ to obtain the main telephone number of the facility and ask for Human Resources. • *Job Summary** The Maintenance Technician II ensures the functionality, safety, and compliance of healthcare facility systems and equipment by performing advanced maintenance tasks, repairs, and installations. This role requires expertise in troubleshooting and maintaining mechanical, electrical, and plumbing systems, as well as hospital-specific equipment. The Maintenance Technician II responds to urgent issues, and may assist in supervising entry-level technicians to support the operational efficiency of the facility. • *What We Offer:** + Competitive Pay + Medical, Dental, Vision, and Life Insurance + Generous Paid Time Off (PTO) + Extended Illness Bank (EIB) + Matching 401(k) + Opportunities for Career Advancement + Rewards & Recognition Programs + Exclusive Discounts and Perks* • *Essential Functions** + Troubleshoots and performs repairs on mechanical, electrical, and plumbing systems, as well as hospital-specific equipment. + Responds to work request or trouble calls and pages in a timely and professional manner without valid written complaints. + Ensures all maintenance activities meet safety regulations and hospital standards (e.g., OSHA, NFPA, Joint Commission). + Addresses urgent repair requests and resolve critical issues, minimizing disruptions to hospital operations. + Performs regular inspections and maintain the condition of hospital buildings and infrastructure. + Keeps accurate records of maintenance activities, work orders, and equipment performance for management reporting. + Assists with budget management, and track and order necessary maintenance supplies and parts. + Maintains detailed logs of maintenance work, service reports, and equipment status for management oversight. + Quickly addresses and resolves critical maintenance issues to minimize disruptions to hospital operations and patient care. + Performs other duties as assigned. + Complies with all policies and standards. • *Qualifications** + H.S. Diploma or GED required + Associate Degree or certification in Facilities Maintenance, HVAC, Electrical, Plumbing, or a related technical field preferred + 2-4 years of experience in facilities maintenance, engineering, or related roles required + 3-5 years of experience in facilities maintenance, engineering, or related roles in a hospital or healthcare setting preferred • *Knowledge, Skills and Abilities** + Strong knowledge of building systems (HVAC, electrical, plumbing, medical gas systems). + Proficient in troubleshooting and repair techniques. + Ability to read and interpret technical manuals, blueprints, and schematics. + Strong problem-solving and critical-thinking skills. + Excellent communication skills for interacting with hospital staff, vendors, and contractors. + Ability to perform operations on high pressure boilers, emergency generators, and fire alarm panes in an emergency. • *Licenses and Certifications** + DL NUMBER - Driver License, Valid and in State required + Licensed Steam Boiler and Refrigeration within the first six (6) months of employment required + CPI - Nonviolent Crisis Prevention & Intervention Training preferred + Certification in HVAC, electrical, or plumbing systems preferred • *State Specific Requirements** + Georgia: CPI - Nonviolent Crisis Prevention & Intervention Training certification required. INDNC Equal Employment Opportunity This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to http://www.chs.net/serving-communities/locations/ to obtain the main telephone number of the facility and ask for Human Resources.

Develop and implement data products and dashboards using SQL and BI tools, collaborate with stakeholders to define metrics and data needs, and ensure data quality and accessibility. | Bachelor's degree, 3+ years SQL and BI tool experience, strong data visualization and data quality skills, with preferred experience in Looker Studio, Python, and healthcare/insurance industry. | Job Summary As a Senior Data Analyst for the Information Technology organization, you'll be responsible for identifying, curating, publishing, and visualizing data in a way that is easily interpreted and understood. Successful data analysts have strong SQL skills, a deep understanding of data warehousing and data products, and the ability to quickly understand the structure and relationship of data from a broad range of sources. You will have the opportunity to work with various programming languages, technologies, and both structured and unstructured data. A Qualified Candidate: • Is a Lifelong Learner and Passionate about Technology • Is Experienced with Business Intelligence (BI) and data visualization and can show examples of past work • Is very proficient with SQL, with the ability to demonstrate understanding of various concepts, capabilities, and functions including, but not limited to, the following: Joins, grouping, ordering, common table expressions, case functions, regex • Derives joy from tackling complex problems and working through solution tradeoffs • Can learn on the fly and fill knowledge gaps on demand • Has experience working with a variety of people at various levels • Has a strong ability to interpret datasets and identify information, trends, and patterns. • Has excellent data management and QA skills - Process Oriented • Recognizes business requirements in the context of data visualization and reporting and creates data models to transform raw data into relevant insights • Has aptitude for data presentation and ability to transform raw data into meaningful, actionable reports • Has experience with Looker / Google Data Studio or similar platforms • Has strong exploratory data analysis skills and can translate stakeholder requirements into data products • Has excellent communication skills Essential Functions • Provides technical consultation on data product projects by analyzing end to end data product requirements and existing business processes to lead in the design, development and implementation of data products. • Collaborates with stakeholders to understand data needs and requirements for visualizations taking a "Design Thinking" approach to problem solving and interactive solutioning. • Collaborates with stakeholders to define metrics and cultivate data sources to support reporting insights aligned to business goals. • Creates dashboards and interactive visualizations that allow users to explore data in meaningful ways. • Develops complex SQL queries to combine and transform raw data into datasets needed for metrics and other analytical functions. • Provides training and support to end-users on how to interpret and interact with data visualizations. • Produces data views, data models, and data flows for varying client demands such as dimensional data, standard and ad hoc reporting, data feeds, dashboard reporting, and data science research & exploration. • Translates business data stories into a technical story breakdown structure and work estimate so value and fit for a schedule or sprint is determined. • Collaborates with enterprise teams and other internal organizations on CI/CD best practices experience using JIRA, Jenkins, Confluence etc. • Implements production processes and systems to monitor data quality, ensuring production data is always accurate and available for key stakeholders and business processes that depend on it. • Practices code management and integration with engineering Git principle and practice repositories. • Participates as an expert and learner in team tasks for data analysis, architecture, application design, coding, and testing practices. Qualifications: • Required Education: Bachelor's degree in computer science, information systems, cyber security, business, statistics, mathematics, or a related field • Preferred Education: Master's degree in computer science, information systems, cyber security, business, statistics, mathematics, or a related field • Computer Skills Required: • Advanced skills with SQL • Experience with python, javascript, CSS, or other languages a plus. • Desired experience in: Looker Studio / Google Data Studio, BigQuery Required Experience: • 3+ years of experience with developing compelling stories and distinctive visualizations. • 3+ years of relevant experience with data quality rules, data management organization/standards, practices and software development. • 4+ years of SQL experience. • 3+ years of dashboarding / BI tool experience (Looker Studio, PowerBI, Tableau, etc). • Experience in statistical analysis, data models, data warehousing, and queries. • Data application and practice knowledge. • Good problem solving, oral and written communication skills. • Strong working knowledge of graphic design or UI design. • Preferred Experience: • Healthcare/Insurance/financial services industry knowledge • Python • Javascript • CSS • Looker Studio / Google Data Studio

Process and verify reimbursement claims ensuring accuracy and compliance, resolve discrepancies, apply transaction codes, and collaborate with teams to support revenue integrity. | High school diploma or GED with 0-1 years experience in medical billing or claims processing, knowledge of payer reimbursement policies, and proficiency with billing and reimbursement systems. | Job Summary The Remote Insurance Reimbursement Specialist is responsible for processing, reviewing, and verifying reimbursement claims to ensure accuracy, compliance, and timely resolution. This role involves analyzing account balances, identifying discrepancies, and applying appropriate transaction codes to facilitate accurate claims processing. The Reimbursement Specialist I collaborates with internal teams to support workflow efficiency, revenue integrity, and compliance with payer guidelines while maintaining productivity and accuracy standards. As a Remote Insurance Reimbursement Specialist at Community Health Systems (CHS) - Patient Access Center, 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 Essential Functions • Processes and verifies reimbursement claims, ensuring accuracy and compliance with payer guidelines and regulatory requirements. • Reviews and resolves claim discrepancies, identifying incorrect payments, denials, or underpayments and taking appropriate action. • Applies correct transaction codes to accounts, ensuring proper claim adjudication and reimbursement flow. • Monitors and follows up on outstanding claims, ensuring timely resolution and payment collection. • Collaborates with revenue cycle teams and payers to investigate claim denials and appeal decisions when necessary. • Researches and interprets payer policies, ensuring adherence to reimbursement requirements and claim submission rules. • Documents account actions accurately and thoroughly in the appropriate systems, maintaining compliance with department protocols. • Identifies process improvement opportunities, contributing to increased efficiency and streamlined reimbursement workflows. • Maintains strict confidentiality of patient and financial information, ensuring compliance with HIPAA and corporate policies. • Performs other duties as assigned. • Complies with all policies and standards. Qualifications • H.S. Diploma or GED required • Associate Degree or coursework in Accounting, Finance, Healthcare Administration, or related field preferred • 0-1 years of experience in medical billing, reimbursement, claims processing, or accounts receivable required • Experience with payer reimbursement policies, claim adjudication, and healthcare revenue cycle operations preferred Knowledge, Skills and Abilities • Strong knowledge of medical billing, reimbursement procedures, and payer guidelines. • Familiarity with claim submission, denial management, and appeals processes. • Ability to analyze account balances, identify discrepancies, and apply appropriate adjustments. • Proficiency in electronic health records (EHR), billing software, and reimbursement systems. • Strong problem-solving and critical-thinking skills, ensuring accurate claims resolution. • Effective communication and collaboration skills, working with payers, revenue cycle teams, and internal departments. • Knowledge of HIPAA, compliance regulations, and healthcare reimbursement standards. As an Insurance Reimbursement 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. 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.

Manage underpayment and overpayment accounts, reconcile balances, communicate with payers, analyze trends, and collaborate with internal teams to optimize revenue cycle processes. | 1-2 years healthcare collections or revenue cycle experience, familiarity with payer contracts, strong analytical and communication skills, proficiency in billing software and Microsoft Office. | Job Summary The Underpayment & Overpayment Collector - Healthcare (REMOTE) is responsible for the timely and efficient resolution of underpaid and overpaid accounts. This role involves managing account follow-up, analyzing trends, collaborating with internal departments, and ensuring accurate reconciliation of account balances. The PCCM Collector assists in optimizing revenue cycle processes and maintaining compliance with contractual agreements. As a Payment Compliance Collector at Community Health Systems (CHS) - PCCM, 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, and 401k. Essential Functions • Manages account follow-up for underpaid and overpaid claims, escalating unresolved issues internally as needed to achieve resolution. • Reconciles account balances and adjustments to ensure accurate financial status and compliance with contractual terms. • Resolves underpayments by engaging in daily communication with payers and negotiating payment discrepancies. • Identifies and analyzes trends in underpayments, overpayments, denials, and revenue opportunities to recommend process improvements. • Evaluates and interprets contract reimbursement details, providing feedback and insights to the department to enhance revenue cycle performance. • Collaborates with financial and clinical departments to address account discrepancies and ensure effective revenue management. • Reviews contract validation, updates, and provides interpretation to support accurate claim processing and collections. • Ensures thorough and accurate validation of account analysis before distribution, maintaining compliance with policies and procedures. • Performs other duties as assigned. • Complies with all policies and standards. Qualifications • H.S. Diploma or GED required • Associate Degree or higher preferred • 1-2 years of experience in healthcare collections, revenue cycle, or contract management required • Familiarity with payer contracts and healthcare reimbursement methodologies preferred Knowledge, Skills and Abilities • Strong analytical and problem-solving skills. • Proficient in understanding and interpreting payer contracts and reimbursement terms. • Effective communication and negotiation skills. • Ability to work independently and manage multiple priorities in a fast-paced environment. • Proficiency in healthcare billing software, Google Suite, and Microsoft Office Suite, especially Excel. • Attention to detail and high degree of accuracy in reconciliation and analysis. 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 Payment Compliance and Contract Management (PCCM) team plays a critical role in ensuring that payments are made according to contractual agreements and regulatory requirements. The team oversees the full contract lifecycle, focusing on analyzing reimbursement discrepancies, improving revenue cycle processes, and ensuring compliance with contract terms to support financial accuracy and operational efficiency. 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.

Review, analyze, and assign accurate professional fee codes for physician services, ensure compliance with coding standards and payer policies, perform audits, and collaborate with providers and revenue cycle teams. | Requires 2-4 years of physician coding or billing experience, strong knowledge of coding systems and payer guidelines, and mandatory coding certification (CPC, CCS, or equivalent). | Job Summary The Remote Physician Pro Fee Coding Specialist-Denials Management is responsible for reviewing, analyzing, and assigning accurate CPT, HCPCS, and ICD-10 codes for professional fee services documented in the medical record. This role ensures proper sequencing, modifier use, and place-of-service coding in compliance with governmental regulations, third-party payer policies, and corporate standards. The Physician Coder plays a key role in revenue cycle accuracy by identifying documentation gaps, ensuring coding integrity, and working collaboratively with internal teams to support physician coding compliance and reimbursement. Essential Functions • Assigns accurate CPT, HCPCS, and ICD-10 codes for professional services, procedures, diagnoses, and treatments based on provider documentation. • Ensures compliance with governmental regulations, third-party payer policies, and corporate coding protocols, following National Correct Coding Initiative (NCCI) edits, Local Coverage Determinations (LCDs), and National Coverage Determinations (NCDs). • Performs coding audits and quality reviews, verifying accuracy of documentation and identifying areas for provider education. • Works coding-related claim edits, holds, and scrubs in the electronic billing system (e.g., Athena Collector), ensuring timely claim resolution and reimbursement. • Collaborates with physicians, revenue cycle teams, and coding education staff, requesting clarification when necessary to ensure optimal documentation and compliance. • Performs edit checks on coded data before transmittal, identifying and correcting errors as needed. • Maintains strict confidentiality of patient records, provider information, and financial data, adhering to HIPAA and corporate compliance policies. • Escalates documentation or coding issues to the coding education team for provider training and improved documentation practices. • Assists in coding-related special projects, ensuring accurate reporting and analysis of coding data for operational improvement. • Performs other duties as assigned. • Complies with all policies and standards. Qualifications • H.S. Diploma or GED required • Associate Degree in Health Information Management, Healthcare Administration, or a related field preferred • 2-4 years of experience in physician coding, professional fee coding, or medical billing required • Experience with multiple specialties, surgical coding, or high-volume professional fee coding preferred Knowledge, Skills and Abilities • Strong knowledge of ICD-10, CPT, and HCPCS coding systems for physician/professional fee services. • Understanding of modifier usage, place-of-service coding, and payer billing guidelines. • Experience with electronic health records (EHR), coding software, and claim processing systems. • Ability to identify documentation deficiencies and escalate for provider education. • Familiarity with NCCI edits, LCD/NCD guidelines, and medical necessity requirements. • Strong analytical and problem-solving skills, ensuring accurate coding and optimal reimbursement. • Effective communication and collaboration skills, working with providers, revenue cycle teams, and compliance staff. Licenses and Certifications • Certified Coder-AHIMA or AAPC (CPC) required or • CCS-Certified Coding Specialist (CCS-P) required • Additional certifications such as Certified Evaluation and Management Coder (CEMC) or Registered Health Information Technician (RHIT) preferred