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Cost Management Associate
Cost Management AssociateChristian Care Ministry • Orlando, FL, US
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Cost Management Associate

Cost Management Associate

Christian Care Ministry • Orlando, FL, US
Hace 1 día
Tipo de contrato
  • A tiempo completo
Descripción del trabajo

Cost Management Associate

The range for this role is $17.07 to $21.88. Actual base pay will be determined based on a successful candidate's work location, skills / abilities, experience, and education. Interested applicants must be willing and able to work onsite minimum 4 times per week in our Orlando, FL office.

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. To that end, our Mission Statement is as follows : Connecting people to a Christ-centered community wellness experience based on faith, prayer, and personal responsibility.

The Job

Organize and work a large case load in accordance with the various established processes specific to medical record, administrative, form, file, refund, and communication queues. Communicate required information via inbound and outbound phone calls, emails, and faxes with healthcare providers. Review reports to determine and open cases that need to be worked on by Patient Advocates.

Essential Job Duties & Responsibilities

  • Support members as primary point of contact with providers in obtaining required medical records including providing and receiving written and telephone communication
  • Serve as primary point of contact with members in obtaining authorizations
  • Work directly with providers to obtain refunds on inaccurately shared bills
  • Effectively communicate guidelines to providers to retrieve necessary information and guide parties through established processes / procedures
  • Forward, send, and / or label incoming documentation (i.e. forms, medical records, authorizations, legal, etc.) when applicable providing accurate and detailed case notes in accordance with established processes
  • Handle multiple cases and document appropriate notes & status in required billing system (i.e. SalesForce, CSI)
  • Review reports to determine if cases need to be opened and worked by other internal team members
  • Assess cases within queues, sending them to appropriate areas to work / review
  • Keep leadership informed of high risk / high dollar cases
  • Offer to pray with providers and members on every call
  • Contribute to the exercise and expression of Christian Care Ministry's Christian beliefs
  • All other duties as assigned

Essential Skills & Abilities

  • Adaptability : Ability to quickly learn, pivot, and apply process changes as needed.
  • Critical Thinking & Problem Solving : Ability to diagnose complex problems and issues providing multiple, viable solutions.
  • Interpersonal & Communication Skills : Ability to effectively communicate in verbal and written form. Must align all communication with the mission, vision, and values at CCM. Must be able to foster good relationships with co-workers and leadership.
  • Reading Comprehension : Ability to read and interpret documents such as medical records, operating and maintenance instructions, and procedure manuals.
  • Mathematical Skills : Ability to add, subtract, multiply, and divide into all units of measure, using whole numbers, common fractions, and decimals.
  • Computer Skills : Ability to use the internet, including e-mail and search engines, word processing and keyboard skills of at least 35 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 can organize the day accordingly. Ability to work effectively without supervision.
  • Task Oriented : Self-motivated to complete tasks / meet objectives, often independently, and without getting distracted.
  • Core Competencies / Demonstrable Behaviors

  • Manages ambiguity : Operating effectively, even when things are not certain or the way forward is not clear.
  • Manages complexity : Making sense of complex, high quantity, and sometimes contradictory information to effectively solve problems.
  • Decision quality : Making good and timely decisions that keep the organization moving forward.
  • Resourcefulness : Securing and deploying resources effectively and efficiently.
  • Drives results : Consistently achieving results, even under tough circumstances.
  • Demonstrates self-awareness : Using a combination of feedback and reflection to gain productive insight into personal strengths and weaknesses.
  • Situational adaptability : Adapting approach and demeanor in real time to match the shifting demands of different situations.
  • Action oriented : Taking on new opportunities and tough challenges with a sense of urgency, high energy, and enthusiasm.
  • Education and / or Experience

  • High school diploma / GED (required)
  • 1-2 years administrative and / or phone-based customer service experience (required)
  • 1-2 years of Medical Office experience reading medical records and / or medical billing (preferred)
  • Experience in a healthcare payer or healthcare organization (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 :

  • 100% paid Medical for employees / 99% for family
  • Generous employer Health Savings Account (HSA) contributions
  • Employer-paid Life Insurance (3x salary) and Long-term Disability Insurance
  • 6 weeks of paid parental leave (for both mom and dad)
  • Dental - two plans to choose from
  • Vision
  • Short-term Disability
  • Accident, Critical Illness, Hospital Indemnity
  • 401(k) up to 4% match on ROTH or Traditional contributions
  • Generous paid-time off and 11 paid holidays
  • Wellness plan including Financial, Occupational, Mental / Spiritual, and Physical health incentives up to $50 / mo
  • Employee Assistance Program including no cost, in-person mental health visits and employee discounts
  • Monetary Anniversary Awards Program
  • Monetary Birthday Awards
  • Minimum Age Requirement : Due to the nature of the responsibilities associated with this positionincluding independent decision-making, access to confidential information, and potential exposure to regulated environmentscandidates must be at least 18 years of age at the time of hire. This requirement is in accordance with applicable federal and state labor laws and is intended to ensure compliance with workplace safety and legal standards.

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