Christian Care Ministry is a healthcare sharing ministry for Christians that focuses on connecting people to a Christ-centered community wellness experience. The Appeals Administrative Specialist is responsible for supporting the Appeals/Grievances Department by completing clerical and administrative tasks, collaborating with team members to communicate with members and providers, and managing the appeals process.
Responsibilities
- Comply with all organizational HIPAA requirements
- Maintain am advances understanding of Medi-share program guidelines and appeals processing functions
- Acquire Medical Records for Appeals from providers
- Keep members informed of Appeals process and pray with them
- Drop conclusions from RN and LPN into Letters that are going out to members
- Set up next level of appeals for member
- Be a point of contact for member while in appeals process
- Work Faxmaker and e-mail folders
- Maintain workflow follow up in various queues
- Document medical correspondence received from members and providers
- Receive inbound and place outbound calls from/to members and providers
- Answer questions about the medical record and appeal processes
- Praying with internal and external customers as appropriate
- Contribute to the exercise and expression of the Ministry’s Christian beliefs
- All other duties as assigned
Skills
- High school diploma or GED required
- Ability to organize and prioritize daily workload
- Knowledge of medical terminology
- Ability to read and interpret documents such as safety rules, operating and maintenance instructions and procedure manuals
- Ability to write routine correspondence and reports
- Ability to speak effectively with participants, providers, and/or associates of the organization
- Ability to add, subtract, multiply and divide into all units of measure, using whole numbers, common fractions and decimals
- 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
- Skill in the use of 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
- Basic knowledge of Microsoft Office (Excel, Word)
- Knowledge of a document imaging system
- Comply with all organizational HIPAA requirements
- Maintain an advanced understanding of Medi-share program guidelines and appeals processing functions
- Acquire Medical Records for Appeals from providers
- Keep members informed of Appeals process and pray with them
- Drop conclusions from RN and LPN into Letters that are going out to members
- Set up next level of appeals for member
- Be a point of contact for member while in appeals process
- Work Faxmaker and e-mail folders
- Maintain workflow follow up in various queues
- Document medical correspondence received from members and providers
- Receive inbound and place outbound calls from/to members and providers
- Answer questions about the medical record and appeal processes
- Praying with internal and external customers as appropriate
- Contribute to the exercise and expression of the Ministry's Christian beliefs
- Collaborates – builds partnerships and works collaboratively with others to meet objectives
- Interpersonal Savvy – relates openly and comfortably with a diverse group of people
- Drives Results – consistently achieves results, even under tough circumstances and tight deadlines
- Situational Adaptability – adapting approach and demeanor in real time to match the shifting demands of different situations
- Courage – ability to have tough conversations and deliver accurate advice and decisions regardless of risk or potential criticism
- Associate's degree preferred
- 1-3 years' experience preferred in Medical Administration/Medical Records
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
Company Overview
Christian Care Ministry (CCM) is a non-profit that administers Medi-Share, a healthcare sharing program where Christians come together to share each other’s medical bills. It was founded in 1993, and is headquartered in Melbourne, Florida, USA, with a workforce of 501-1000 employees. Its website is https://www.mychristiancare.org.
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