Shared Medical Bills Examiner

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Orange, CA, US

9 days ago Requisition

Shared Medical Bills Examiner

Healthcare is increasingly unaffordable for many Americans. Most people believe they have two choices: increasingly expensive, restrictive employer insurance, or an ACA plan that keeps getting pricier. Many don't know there's a third, smarter option.

WeShare Health is that option.

WeShare Health’s mission is to make healthcare simpler, more affordable, and more human. We're a nonprofit, faith-inspired healthcare sharing organization where members contribute monthly to share one another's eligible medical expenses. We're proudly not insurance, and that's the point.

Members access a national network of 1 million physicians at 30 to 60 percent less than comparable traditional insurance. Since 2018, WeShare Health has served more than 100,000 members and shared more than $50 million in medical expenses. Our purpose is clear: people before profit.

WeShare Health is led by senior executives with deep experience across for-profit and nonprofit enterprises. We’re rated 4.6 out of 5 on Google Reviews, rated 4.7 on Trustpilot by members and certified as a Great Place To Work® by our employees. If you have a bias for action, enjoy challenges, and want to challenge the status quo to make an impact in a massive industry, WeShare Health might be the place for you!

The Shared Medical Bills Examiner plays a key role in reviewing, processing, and resolving medical bills submitted through WeShare’s shared services model. This role is ideal for someone looking to build a career in healthcare operations, medical billing, or claims processing. You’ll work closely with providers, members, and internal teams to ensure bills are handled accurately, efficiently, and in alignment with WeShare’s guidelines.

• Review incoming shared medical bills for accuracy, completeness, and eligibility under WeShare guidelines
• Verify member information, provider details, coding accuracy, and supporting documentation
• Process bills in a timely manner while adhering to internal policies and regulatory requirements
• Identify discrepancies, missing information, or billing errors and follow up with providers or internal teams to resolve them

• Investigate and resolve issues related to denied, incomplete, or disputed bills
• Communicate with providers to clarify billing questions, coding issues, or documentation needs
• Coordinate with internal teams to ensure proper adjudication and sharing decisions
• Track outstanding items and ensure timely resolution

• Accurately enter billing details, notes and updates into systems
• Maintain organized, detailed records of bill status, provider communications, and resolution steps
• Ensure all documentation meets internal quality standards

• Assist providers and members with questions related to bill status, eligibility, sharing guidelines, and required documentation
• Deliver clear, courteous, and professional communication across phone, email, and chat
• Help educate providers on WeShare processes to reduce future billing issues

• Follow established workflows to ensure consistency and accuracy in bill processing
• Escalate complex or unusual cases to senior team members as needed
• Support continuous improvement by identifying recurring issues or process gaps

• High school diploma or equivalent
• 6+ months of experience in customer service, administrative, or healthcare support role
• Strong attention to…