Medicare Authorization Support Representative (Hybrid Potential- Local Candidates Only)

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: 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 primary communication resource by responding to member inquiries via phone and email regarding authorization status, eligibility, and program-related questions in accordance with CHM Guidelines Serves as a point of contact for staff inquiriesvia phone and email, providingtimely and accurate information Provide clear, compassionate member support by helping members understand sharing status, next steps, and program terms at an appropriate level of detail Apply guideline knowledge to communication by determining appropriate next steps and delivering accurate, consistent guidance to members and internal staffEscalates 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 workloadto meet productivity and quality standards Responds to correspondence and completes assignedtasks within established timelines Collaborate with Team Lead & Team Lead Assistant to improve scripts, templates, and educational resources that support consistent messaging Team Collaboration & Continuous Improvement Collaborates with team members and leadership to support departmental goals Identifies and communicates process improvement opportunities to enhance efficiency and accuracyCORE COMPETENCIES & SKILLSAttention 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 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.