Medical Records Associate
About The Position
Medi-Share differs from traditional insurance by emphasizing faith-based values and affordability. The Cost Management team aims to improve program sustainability by coordinating provisions, collecting medical records, and conducting cost steerage and bill audits, resulting in over $90 million saved annually. In this position, the associate manages a large caseload according to set processes across various work queues, such as medical records, administrative tasks, forms, files, refunds, and communication queues. The role involves communicating effectively with members and healthcare providers through phone calls, emails, and faxes. We strive to reduce stress for our members during critical healthcare situations so they can focus on their families.
Requirements
- High school diploma/GED (required)
- 1-2 years administrative and/or phone-based customer service experience (required) with medical office experience reading medical records and/or medical billing (preferred)
- 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.
Nice To Haves
- Experience in a healthcare payer or healthcare organization (preferred)
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
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
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
