Medical Bill Analyst

3 weeks ago

Peoria, United States Christian Care Ministry Full time

**Hourly Pay Rate: $17.00 base plus** performance-based bonus compensation **_monthly_**

**The Mission**

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 is in agreement with 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 Job**

The Medical Bill Analyst makes sound determinations to share, deny, or pend medical bills based on Medi-share Guidelines. This person researches diagnoses and treatment plans on bills to ensure accuracy and necessity, issues payments, denials of payment, or requests for information from providers or members to make sound determinations.

**Essential Job Duties & Responsibilities**
- Investigate and determine eligibility of medical bills according to Medi-Share program guidelines
- Accurately and efficiently complete all necessary steps to properly adjudicate a medical bill
- Demonstrate the aptitude to learn and successfully complete 20% to 40% of all queues with a skill ability between 10% to 40%
- Maintain an average production rate of 25 bills per hour with a minimum of 90% accuracy
- Communicate verbally and in writing with other departments as necessary to gather proper information to make bill determinations
- Contributes to the exercise and expression of Christian Care Ministry's Christian beliefs
- All other duties as assigned

**Essential Skills & Abilities**
- Strong analytical skills - ability to diagnose complex problems and issues with data not easily understood
- Strong computer skills - ability to access and research complex medical procedures and terminology
- Reading comprehension - ability to read large amounts of data in short periods of time and translate that information to make sound decisions on members' medical bills
- Mathematical Skills - Ability to add, subtract multiply and divide in all units of measure, using whole numbers, common fractions and decimals. Ability to compute percent and to interpret bar graphs.
- Language Skills - Ability to read and interpret electronic documents such as procedure manuals, medical records, medical bills, legal documents and insurance documents.
- Ability to work effectively and independently without supervision in a remote setting
- Agility to move between several different computer software systems in order to gather information, research, and complete processing of medical bills

**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 required
- Basic knowledge of medical terminology preferred
- Knowledge of ICD-10 and CPT codes preferred
- Medical coder or previous bill processing experience preferred

**Supervisory Responsibilities**
- This job has no supervisory responsibilities

**Incentives & Benefits**

We work hard to serve our Medi-Share 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.

For full-time employees working 30 hours or more, some of our benefits include, but are not limited to:

- Medical
- Health Savings Account
- Employer Paid Life Insurance and Long-term Disability Insurance
- Dental
- Vision
- Short-term Disability
- Accident, Critical Illness, Hospital Indemnity
- 401(k) - up to 4% match
- Paid-time off - accrued bi-weekly
- Wellness plan
- Employee Assistance Program
- Anniversary Awards Program
- Birthday Awards

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