Cost Management Associate

The range for this role is $16.83 - $21.15

Actual base pay will be determined based on a successful candidate's work location, skills/abilities, experience, and education. This role includes opportunity to receive an annual bonus target of 5% of annual eligible earnings. Actual bonus amounts are determined by length of time in role, individual performance, and organizational performance.

Applicants must be willing and able to work onsite 3 days per week in our Melbourne, FL office. Exceptions for fully remote workers will be reviewed on a case by case basis.  

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

Organize and work a large case load in accordance with the various established processes specific to: medical record, administrative, form, file, refund, and communication queues. Communicate required information via inbound and outbound phone calls, emails, and faxes with healthcare providers. Review reports to determine and open cases that need to be worked by the Patient Advocates.

Essential Job Duties & Responsibilities

• Primary point of contact with providers in obtaining required medical records
• Confirm receipt of medical record requests and authorizations by providers
• Work directly with providers to obtain refunds on inaccurately shared bills
• Correspond via written or verbal communication with healthcare providers to obtain necessary information
• Effectively communicates guidelines to providers in order to retrieve necessary information and guide parties through established processes/procedures
• Forward and/or labeling incoming documentation (i.e. forms, authorizations, legal) when applicable – noting in case notes for reference
• Send incoming communications (i.e. emails, faxes) – noting in case notes for reference
• Handle multiple cases and document appropriate notes & status in billing system required (i.e. SalesForce, CSI)
• Review reports to determine and open cases that need to be worked by the Patient Advocates
• Assess cases within queues by sending to appropriate area to work/review
• Keep leadership informed of high risk/high dollar cases
• Assist with Associate 1 duties as assigned
• Offer to pray with providers when opportunity presents itself
• Contribute to the exercise and expression of Christian Care Ministry’s Christian beliefs
• All other duties as assigned

Essential Skills & Abilities

• Critical Thinking Skills: Ability to diagnose complex problems and issues providing multiple, viable solutions.
• Planning & Organizing Skills: Ability to work effectively without supervision.
• Interpersonal Skills: Ability to effectively communicate in verbal and written form. Must align all communication with the mission, vision, and values at CCM. Communication must encourage, praise, as well as provide constructive critiques. Must be able to foster good relationships with co-workers while remaining unbiased in Quality reviews.
• Language Skills: Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to speak effectively with providers and associates of the organization.  
• 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. 
• Computer Skills: Ability to 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 and basic knowledge of Microsoft office (Excel, Word and Outlook). 
• Time Management Skills: Possesses a strong sense of prioritization and is able to organize the day accordingly.

Core Competencies/Demonstrable Behaviors

• Collaborates: Builds partnerships and works collaboratively with others to meet objectives. This role requires a high level of internal 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 achieves results, even under tough circumstances and tight deadlines.
• Reasoning Ability: 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.
• Thoroughness: Ensures information is complete, accurate, and follows the guidelines put in place for each task.
• Managing Change: Demonstrates support for departmental improvements by helping others successfully manage the transition.

Education and/or Experience

• High school diploma/GED (required)
• 1-2 years administrative and/or customer service experience (required)
• 1 year of phone experience (preferred)
• Prior Cost Management experience strongly 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