Medicare Authorization Specialist (Onsite/Remote - ...

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 OFFERCompensation based on experience.Faith and purpose-based career opportunity!Fully paid health benefitsRetirement and Life Insurance12 paid holidays PLUS birthdayLunch is provided DAILY.Professional DevelopmentPaid TrainingPRIMARY RESPONSIBILITIESMedicare Bill Review & AuthorizationReviews and validates Medicare Summary Notices (MSNs) and Explanations of Benefits (EOBs) for accuracy and completenessAuthorizes medical bills in accordance with CHM guidelines and established standard operating proceduresMember & Internal SupportServes as a point of contact for member and staff inquiries via phone and email, providing timely and accurate informationEscalates complex or unresolved issues to the appropriate leadership levelData Accuracy & DocumentationEnsures accuracy and integrity of data entered and maintained within systemsMaintains organized and complete documentation to support compliance and audit readinessOperational Execution & ProductivityManages daily workload to meet productivity and quality standardsResponds to correspondence and completes assigned tasks within established timelinesTeam Collaboration & Continuous ImprovementCollaborates with team members and leadership to support departmental goalsIdentifies and communicates process improvement opportunities to enhance efficiency and accuracyCORE COMPETENCIES & SKILLSAttention to Detail & AccuracyCommunication (Written & Verbal)Organizational & Time ManagementProblem Solving & InitiativeCustomer Service OrientationConfidentiality & AccountabilityAbility to model CHM's Core Values and Mission Statement in all interactions.REQUIRED QUALIFICATIONSHigh 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 QUALIFICATIONSHigh School Diploma or equivalent required1-2 years of administrative, healthcare, insurance, or billing-related experience preferredProficiency in Microsoft Office (Excel, Word, Outlook)Experience reviewing medical billing documents (MSNs/EOBs) or similar documentation preferredAbout Christian Healthcare MinistriesFounded 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.

Created: 2026-05-09