Cost Management Associate

In this position, the Customer Care Specialist supports the Cost Management team by managing a large caseload of various tasks including collection of medical records, facilitating refunds, uploading forms and files, and communicating with Medi-Share members and medical providers through phone calls, emails, and faxes.

Essential Duties and 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
• Confirm and appropriately document receipt of medical record requests and authorizations by providers
• 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, authorizations, legal, etc.) when applicable – providing accurate and detailed case notes in required systems
• Handle multiple cases and document appropriate notes & status in required billing system (i.e. Sales Force, CSI)

• Review reports to determine and open cases that need to be 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

• 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. Ability to align all communication with the mission, purpose, and values of CCM. Must be able to foster good relationships with co-workers and speak effectively with providers and fellow associates.
• 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. Ability to compute percent and to interpret bar graphs.
• Computer Skills: Ability to use the internet, including e-mail and search engines, word processing and keyboard skills of at least 25 words per minute, ability to use a database system including how to update fields and basic knowledge of Microsoft Office (Excel, Teams, Word, and Outlook).
• Time Management Skills: Possesses a strong sense of prioritization and able to organize the day accordingly.
• Thoroughness:
  Ensures information is complete, accurate, and follows the guidelines put in place for each task.

Core Competencies/Demonstrable Behaviors

• Collaborates:
  Builds partnerships and works collaboratively with others to meet objectives. This role requires a high level of internal and external customer interaction to meet objectives.
• Nimble Learning:
  Actively learning through experimentation when tackling new problems, using both successes and failures as learning fodder.
• Drives Results:
  Consistently achieve results, even under tough circumstances and tight deadlines.
• Member First: exhibits full commitment to serving members and/or clients by prioritizing their…