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
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