Maternity Specialist

Christian Care Ministry•Melbourne, FL

3d•$21 - $28•Onsite

About The Position

The Maternity Specialist plays a vital role in supporting Medi-Share members throughout their pregnancy journey. In this position, you will serve as a trusted resource, guiding members through maternity-related provisions outlined in the member-voted guidelines. Responsibilities would include engaging with maternity members to provide personalized support, communicating maternity provisions clearly and compassionately, assisting members in navigating in-network options and collaborating closely with our Network Management team, and ensuring a positive and empathetic experience for every member interaction. If you have strong communication and interpersonal skills, can work collaboratively across teams, are tech-savvy, and are compassionate and empathetic, we invite you to apply today!

Requirements

Expert knowledge of all maternity program guidelines and processes
Advanced skill with Microsoft Office (Word, Excel, Outlook)
Excellent ability to communicate effectively in written, oral, telephonic, and digital formats that build engagement, interest, and facilitate positive outcomes
Excellent computer skills – ability to access, research and use multiple software programs simultaneously and keyboard skills of at least 35 words per minute
Advanced planning and organizational skills; works effectively without supervision
Ability to comply with HIPAA, PHI, and all call compliance rules and regulations
Ability to work independently and with a team regularly.
Excellent ability to provide all content within a biblical framework
Associate degree or higher in business, healthcare, or other related field or a combination of education and experience required.
3+ years of medical billing or administrative experience in a medical office/facility required and/or certificate level education (or greater) in medical billing and/or medical terminology strongly preferred.

Nice To Haves

Obstetrics experience strongly preferred.

Responsibilities

Identifies and solves critical maternal and infant time-sensitive issues with urgency and accuracy to include resolution of barriers to care
Evaluates for and resolves real and potential financial risks to include global billing practices and service issues consisting of escalations, penalty waivers, and discount disputes; escalates anything with the potential to do harm to the membership or ministry to appropriate stakeholders
Develops, maintains, and applies a thorough working knowledge of standard maternity medical billing practices, healthcare customer service practices, internal business rules, and departmental administrative functions to foster a positive member experience using the Medi-Share program for their maternity event
Educates members planning for and experiencing a maternity event (to include pregnancy, miscarriage, and stillborn) on the Medi-Share maternity provisions, and utilization of appropriate resources i.e. the member center
Confirms that a member’s pregnancy is eligible for sharing, initiating medical reviews as needed, and suggests resources for those maternities not eligible
Collaborates with the Cost Management Program Specialist to identifies and educate members on benefits of cost-saving options.
Assesses members needing additional support outside of the scope of the Specialist’s role and refers member to the clinical team
Ensures the member maternity booklet reflects current maternity information; requests distribution as needed
Documents case work, all telephone conversations, correspondence, and tasks completely and accurately in appropriate IT systems
Meets service level agreements for assigned workload (SF and CSI queues, Outlook) and assists Care Management Associates as needed.
Completes maternity-related special projects independently to include reviewing training material for other team members and other departments pertaining to maternity.
Prays with members and providers as appropriate
Attends all required department and organization meetings
Contribute to the exercise and expression of Christian Care Ministry’s Christian beliefs
All other duties as assigned

Benefits

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