Starting pay: $44,558 – $48,130 base
States we employ in: AL, AZ, CO, FL, GA, IL, IN, KY, MO, NC, OH, SC, TN, TX, VA, WI, WV. In order for your candidacy to be considered, you must have established residency in one of these states or being willing to relocate.
Who We Are
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 agrees to 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 Role
The Provider Relations Specialist makes sound determinations on the ability to share in medical bills based on Medi-Share Guidelines, researches diagnoses and treatment plans on bills to ensure accuracy and eligibility, and/or requests information from providers or members to make sound determinations.
Essential Job Duties & Responsibilities
- Investigate and determine eligibility of Needs Reservations according to Medi-Share program guidelines
- Accurately and efficiently complete all necessary steps to approve or disposition a needs reservation
- Review the members’ application (Online Medical Questionnaire) and Needs Reservation to make decisions regarding pre-existing condition and whether the need qualifies for sharing
- Facilitate inquiries from providers regarding reimbursement rates
- Negotiate on-going and single case agreements
- Develop trust with members and providers to ensure long-term relationships
- Contribute to the exercise and expression of the Ministry’s Christian beliefs
- All other duties as assigned
Essential Skills & Abilities
- Ability to diagnose complex problems and issues with data not easily understood
- Ability to access and research complex medical procedures and terminology
- Agility to move between several different computer software systems in order to gather information, research and complete processing of needs reservations.
- Communicate verbally and in writing with other departments as necessary to gather proper information to make bill determinations for needs reservations
- Ability to read large amounts of data in short periods of time and translate that information to make sound decisions on members’ medical bills
- Ability to read and interpret electronic documents such as procedure manuals, medical records, medical bills, legal documents and insurance documents.
- 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.
Core Competencies/Demonstrable Behaviors
- Manages complexity—Makes sense of complex, high quantity, and sometimes contradictory information to effectively solve problems.
- Decision quality—Makes good and timely decisions that keep the organization moving forward.
- Plans and aligns—Planning and prioritizing work to meet commitments aligned with organizational goals.
- Ensures accountability—Holds self-accountable to meet commitments.
- Optimizes work processes—Knowing the most effective and efficient processes to get things done, with a focus on continuous improvement.
- Instills trust—Gains the confidence and trust of others through honesty, integrity, and authenticity.
Education and/or Experience
- High School diploma or GED with 1-3 years customer service, including basic knowledge of medical terminology required.
- Medical coder or previous processing experience or knowledge of ICD10 and CPT codes preferred.
Incentives & Benefits
We work hard to serve our 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.
Employees are eligible to receive annual incentive pay based on individual and organizational performance.
Some of our benefits include, but are not limited to:
- Generous paid time off (PTO), paid holidays, and paid volunteer days
- 401(k)
- Healthcare
- Dental/Vision plans
- Life & Disability plans
- Accident, Critical Illness, & Hospital plans
- Professional development
- Weekly chapel service and prayer times
- Onsite & Virtual fitness classes
- Employee Wellness Rewards & Programs
- Employee Assistance Programs