Cost Management Member Support Specialist
christiancareministry Melbourne, FL | Hybrid | Remote Full-time 2024-11-01
The range for this role is $19.71 – $25.00
Actual base pay will be determined based on a successful candidate’s work location, skills/abilities, experience, and education. This role includes opportunity to receive an annual bonus target of 5% of annual eligible earnings. Actual bonus amounts are determined by length of time in role, individual performance, and organizational performance.
Applicants must be willing and able to work onsite 3 days per week in our Melbourne, FL office. Exceptions for fully remote workers will be reviewed on a case by case basis.
The Mission
At Christian Care Ministry we believe that Christians can, and should, share in one another’s burdens. Through the use of Medi-Share®, a healthcare sharing ministry for Christians, we cultivate that belief.
The Team
Everyone at Christian Care Ministry is in agreement with our Statement of Faith, which outlines our core beliefs. Although we aren’t perfect people, we are serving our perfect God to the best of our ability.
The Job
Organize and work a large case load in accordance with the various established processes specific to: external program searches, obtaining signed authorizations, primary insurance, sports injuries, workman’s compensation situations, at-home injuries, motor vehicle accidents. Communicate required information via inbound and outbound phone calls, emails, and faxes with Medi-Share members and healthcare providers.
Essential Job Duties & Responsibilities
- Single point of contact to members and healthcare providers (when applicable) in obtaining required documentation (i.e. forms, authorizations, legal) for the processing of member’s medical bills
- Correspond via written or verbal communication with members and healthcare providers to obtain necessary information
- Encourage members to apply for programs if eligible and to submit bills to appropriate to resource
- Effectively communicates guidelines to both members and outside entities in order to retrieve necessary information and guide parties through established processes/procedures
- Forward incoming documentation (i.e. forms, authorizations, legal) when applicable – noting in case notes for reference
- Handle multiple cases and document appropriate notes & status in billing system required (i.e. SalesForce, CSI)
- Keep leadership informed of high risk/high dollar cases
- Offer to pray with providers, members and legal personnel when opportunity presents itself
- Contribute to the exercise and expression of Christian Care Ministry’s Christian beliefs
- All other duties as assigned
Essential Skills & Abilities
- Critical Thinking Skills: Ability to diagnose complex problems and issues providing multiple, viable solutions.
- Planning & Organizing Skills: Ability to work effectively without supervision.
- Interpersonal Skills: Ability to effectively communicate in verbal and written form. Must align all communication with the mission, vision, and values at CCM. Communication must encourage, praise, as well as provide constructive critiques. Must be able to foster good relationships with co-workers while remaining unbiased in Quality reviews.
- Language Skills: Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to speak effectively with providers and associates of the organization.
- Mathematical Skills: Ability to add, subtract multiply and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute percent and to interpret bar graphs.
- Computer Skills: Ability to use of the internet including e-mail and search engines, word processing and keyboard skills of at least 25 words per minute, ability to use a database system including how to update fields and basic knowledge of Microsoft office (Excel, Word and Outlook).
- Time Management Skills: Possesses a strong sense of prioritization and is able to organize the day accordingly.
Core Competencies/Demonstrable Behaviors
- Collaborates: Builds partnerships and works collaboratively with others to meet objectives. This role requires a high level of internal customer interaction to meet objectives.
- Nimble Learning: Actively learning through experimentation when tackling new problems, using both successes and failures as learning fodder.
- Drives Results: Consistently achieves results, even under tough circumstances and tight deadlines.
- Reasoning Ability: Ability to apply common sense understanding to carry out instruction furnished in written, oral or diagram form. Ability to deal with problems involving several variables in standardized situations.
- Thoroughness: Ensures information is complete, accurate, and follows the guidelines put in place for each task.
- Managing Change: Demonstrates support for departmental improvements by helping others successfully manage the transition.
Education and/or Experience
- High school diploma/GED (required)
- 1-2 years’ experience handling medical bills, medical bill processing and/or reporting (required)
- 2-3 years’ of phone experience (required)
- Familiarity with medical terminology (preferred)
- Associate’s degree in Healthcare or Business Administration (preferred)
- Prior Cost Management experience strongly preferred
Supervisory Responsibilities
- This job has no supervisory responsibilities
Incentives & Benefits
We work hard to serve our Medi-Share Members, but know we can only do that if we invest in our employees professionally, financially, physically, socially, and spiritually. We purposefully invest in our employees so that our employees can invest in others.
For full-time employees working 30 hours or more, some of our benefits include, but are not limited to:
- Medical
- Health Savings Account
- Employer Paid Life Insurance and Long-term Disability Insurance
- Dental
- Vision
- Short-term Disability
- Accident, Critical Illness, Hospital Indemnity
- 401(k) – up to 4% match
- Paid-time off – accrued bi-weekly
- Wellness plan
- Employee Assistance Program
- Anniversary Awards Program
- Birthday Awards