Medical Bill Examiner

Christian Healthcare Ministries; Barberton (OH); On-site; USD 42,000 - 62,000; Full time

Benefits offered by this job

Fully Paid Health Benefit

Retirement and Life insurance

12 Paid Holidays PLUS Birthday

Lunch is provided and paid from DAILY.

Professional Development

Job summary

Christian Healthcare Ministries in Barberton, Ohio is seeking a Medical Bill Examiner to audit itemized bills for accuracy, verify services rendered, and assign personal responsibility amounts in line with CHM Guidelines. The role requires reviewing documentation, ensuring HIPAA compliance, identifying duplicates and ineligible charges, and escalating issues to appropriate departments.

You will support policy implementation, aim to maintain an error rate at or below 1%, and contribute to quality

Qualifications

• High school diploma or equivalent required.
• Medical background preferred to support understanding of medical bills.
• Strong analytical and research skills with high attention to accuracy.
• Excellent written and verbal communication skills.
• Strong organizational and multitasking abilities.

Responsibilities

• Audit itemized bills for accuracy (e.g., patient name, benefit code, place of service, incurred date, total charges).
• Review documentation to ensure services rendered and clinical complexity are accurate and complete.
• Confirm member eligibility and verify monthly contributions and required documentation.
• Identify duplicate bills and ineligible charges.
• Process applicable medical discounts.
• Escalate or de-escalate bills to appropriate departments for further review.
• Assign yearly personal responsibility based on membership level and incident qualifying amount.
• Identify opportunities to improve quality and productivity.
• Support implementation of policies and procedures aligned with CHM Guidelines.
• Maintain an error rate of 1% or less.
• Perform other duties as assigned.

Skills

Analytical thinking

Communication and collaboration

Problem-solving

Education

High school diploma or equivalent

Medical background preferred

Tools

Microsoft Office

Job description

The Medical Bill Examiner is responsible for conducting quality audits on medical bills submitted to CHM and assigning personal responsibility amounts. This role ensures compliance with CHM Guidelines while maintaining high standards of accuracy and quality assurance.

WHAT WE OFFER

• Compensation based on experience
• Faith and purposed-based career opportunity!
• Fully Paid Health Benefit
• Retirement and Life insurance
• 12 Paid Holidays PLUS Birthday
• Lunch is provided and paid from DAILY.
• Professional Development

PRIMARY RESPONSIBILITIES

• Audit itemized bills for accuracy (e.g., patient name, benefit code, place of service, incurred date, total charges)
• Review documentation to ensure services rendered and clinical complexity are accurate and complete
• Confirm member eligibility and verify monthly contributions and required documentation
• Identify duplicate bills and ineligible charges
• Process applicable medical discounts
• Escalate or de-escalate bills to appropriate departments for further review
• Assign yearly personal responsibility based on membership level and incident qualifying amount
• Identify opportunities to improve quality and productivity
• Support implementation of policies and procedures aligned with CHM Guidelines
• Maintain an error rate of 1% or less
• Perform other duties as assigned.

CORE COMPETENCIES & SKILLS

• Analytical thinking
• Communication and collaboration
• Problem-solving

QUALIFICATIONS

• High school diploma or equivalent
• Medical background preferred
• Ability to maintain confidentiality and comply with HIPAA
• Strong analytical and research skills with high attention to accuracy
• Excellent written and verbal communication skills
• Strong organizational and multitasking abilities
• Detail-oriented and process-driven
• Proficiency with PC systems and Microsoft Office (Outlook, Word, Excel, Access)

About Christian Healthcare Ministries

Founded in 1981, Christian Healthcare Ministries (CHM) is a health care sharing ministry for Christians. CHM is a nonprofit, voluntary cost-sharing ministry through which participating Christians meet each other’s medical bills. The mission of CHM is to glorify God, show Christian love, and experience God’s presence as Christians share each other’s medical bills.