Pay range: $16.35 - $20.67

Actual base pay will be determined based on a successful candidate's skills/abilities, experience, and education. This role includes opportunity to receive additional monthly compensation incentives based on performance.

Interested applicants must be willing and able to work onsite in either our Melbourne, FL or Colorado Springs, CO office 3 times per week.

Who We Are

At Christian Care Ministry (CCM) 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 agrees to 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 Role

The Appeals Administrative Specialist is responsible for supporting the Appeals/Grievances Department by completing clerical and administrative tasks as assigned. The responsibility of the Appeals Admin is to work collaboratively with members of the team to provide needed support in communicating with members and providers to obtain medical records and explain the appeal process and status.

Essential Job Duties & Responsibilities

• Comply with all organizational HIPAA requirements
• Maintain am advances 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
• Help create processes to improve communication with members
• Praying with internal and external customers as appropriate
• All other duties as assigned

Essential Skills & Abilities

• Ability to organize and prioritize daily workload
• Knowledge of medical terminology
• Ability to read and interpret documents such as safety rules, operating and maintenance instructions and procedure manuals
• Ability to write routine correspondence and reports
• Ability to speak effectively with participants, providers, and/or associates of the organization
• Ability to add, subtract, multiply and divide into all units of measure, using whole numbers, common fractions and decimals
• 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
• Skill in the 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
• Basic knowledge of Microsoft Office (Excel, Word)
• Knowledge of a document imaging system

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
• Interpersonal Savvy – relates openly and comfortably with a diverse group of people. Must be able to communicate effectively and build engagement across all audiences
• Drives Results – consistently achieves results, even under tough circumstances and tight deadlines.
• Situational Adaptability – adapting approach and demeanor in real time to match the shifting demands of different situations.
• Courage – ability to have tough conversations and deliver accurate advice and decisions regardless of risk or potential criticism

Education and/or Experience

• High school diploma or GED with 2 years' customer service or medical office experience required
• Associate's degree preferred
• 1-3 year's experience preferred in Medical Administration/Medical Records

Incentives & Benefits

We work hard to serve our 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.

Employees are eligible to receive annual incentive pay based on individual and organizational performance.

Some of our benefits include, but are not limited to:

• Generous paid time off (PTO), paid holidays, and paid volunteer days
• 401(k)
• Healthcare
• Health Savings Account
• Dental/Vision plans
• Life & Disability plans
• Accident, Critical Illness, & Hospital plans
• Professional development
• Weekly chapel service and prayer times
• Onsite & Virtual fitness classes
• Employee Wellness Rewards & Programs
• Employee Assistance Programs