Medicare Authorization Specialist (Onsite/Remote - Local Candidates
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 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 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.