Medical Billing Specialist

Who We Are :

Zion HealthShare is a nonprofit medical cost-sharing program that provides an organized structure for members to contribute toward each other's medical costs.

We offer individuals and organizations across the country an affordable alternative to insurance; this provides peace of mind.

Our goal is to be America's leading HealthShare. We strive to meet our members' needs on a personal level by following our core values : inclusive, transparent, simple.

Everything we do for our members is to ensure they feel respected and to let them know we truly care about their needs.

Position Summary :

The Medical Billing Specialist plays a crucial role in overseeing and managing the payment of medical bills related to Sharing Request Submissions that are received .

This includes communicating directly with members through written and verbal communication, communicating with providers to make sure that payment is received in a timely manner.

Essential Duties and Responsibilities :

• Adhere to all company, department and position policies and procedures.
• Manage the Medical Need Submissions received from members which include creating the record within the system, obtaining additional information for determination, process provider & member payments, create medical bills for payout, and communicate status with member.
• Coordinate payment to providers and members in a timely manner.
• Support in email inbox management.
• Support in managing and addressing phone call inquiries.
• Keep members and providers informed about medical needs through regular written and verbal updates.
• Continuously strive to meet and exceed member expectations, ensuring a high level of member satisfaction.
• Remain flexible and adaptable to changes in job responsibilities or procedures to meet evolving organizational needs.

Required Skills and Abilities :

• 1-2 years previous Customer Service experience
• Attention to detail
• Time Management Skills
• Professional level of verbal and written communication
• Thrive in a fast-paced work environment
• Proficient in Microsoft Suite
• Experience working with 2 monitors, and multiple programs running at the same time

Required Education :

High school diploma

Physical Requirements :

• Sit for up to 8 hours a day and look at dual computer screens
• Type on a keyboard at a minimum of 45 WPM

Experience preferred :

• Experience working with and interpreting medical bills, statements, receipts and medical records
• Familiarity with HIPAA
• Experience or familiarity in working from a CRM (Customer Relationship Management) system

Benefits :

• Medical, dental, and vision insurance
• 401(k) plan with company match
• Paid time off (PTO)
• Short-term disability insurance
• Life Insurance
• Paid holidays

Job Posted by ApplicantPro