Healthcare Billing & Claims Associate

WeShare Health; Orange (CA); On-site; USD 40,000 - 56,000; Full time

Benefits offered by this job

Competitive hourly wage

Great culture with founders

Job summary

WeShare Health is seeking a Shared Medical Bills Examiner in California to review and process shared medical bills within our healthcare sharing model. You will verify member/provider details, coding accuracy, and supporting docs, ensuring timely, compliant bill handling.

Ideal candidates have 6+ months in customer service or healthcare support and excel at data entry with strong communication. Join a mission-driven nonprofit redefining affordable care and work closely with providers and members.

Qualifications

• High school diploma or equivalent.
• 6+ months of experience in customer service, administrative, or healthcare support role.
• Strong attention to detail and accuracy in data entry.
• Ability to manage a high volume of tasks in a fast-paced environment.

Responsibilities

• Review incoming shared medical bills for accuracy, completeness, and eligibility under WeShare guidelines.
• Verify member information, provider details, coding accuracy, and supporting documentation.
• Process bills in a timely manner while adhering to internal policies and regulatory requirements.
• Identify discrepancies, missing information, or billing errors and follow up with providers or internal teams to resolve them.
• Investigate and resolve issues related to denied, incomplete, or disputed bills.
• Communicate with providers to clarify billing questions, coding issues, or documentation needs.
• Coordinate with internal teams to ensure proper adjudication and sharing decisions.
• Track outstanding items and ensure timely resolution.
• Accurately enter billing details, notes and updates into systems.
• Maintain organized, detailed records of bill status, provider communications, and resolution steps.
• Ensure all documentation meets internal quality standards.
• Assist providers and members with questions related to bill status, eligibility, sharing guidelines, and required documentation.
• Deliver clear, courteous, and professional communication across phone, email, and chat.
• Help educate providers on WeShare processes to reduce future billing issues.
• Follow established workflows to ensure consistency and accuracy in bill processing.
• Escalate complex or unusual cases to senior team members as needed.
• Support continuous improvement by identifying recurring issues or process gaps.

Skills

Attention to detail

Data entry

Customer service

Professional communication

Education

High school diploma or equivalent

Tools

Microsoft Office

Job description

WeShare Health is seeking a Shared Medical Bills Examiner in California to review and process shared medical bills within our healthcare sharing model. You will verify member/provider details, coding accuracy, and supporting docs, ensuring timely, compliant bill handling.

Ideal candidates have 6+ months in customer service or healthcare support and excel at data entry with strong communication. Join a mission-driven nonprofit redefining affordable care and work closely with providers and members.