Job Description

Job Description

Job Description

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

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