About the role

  • Appeals Administrative Specialist supporting the Appeals/Grievances Department at Christian Care Ministry. Responsible for clerical and administrative tasks related to member appeals and grievances.

Responsibilities

  • 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
  • All other duties as assigned

Requirements

  • High school diploma or GED required
  • 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

Job title

Appeals Administrative Specialist

Job type

Experience level

Junior

Salary

$17 - $22 per hour

Degree requirement

High School Diploma

Location requirements

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