Medical Billing & Claims Associate I

ADP, Inc.; Orange (CA); On-site; USD 25,000 - 36,000; Full time

Benefits offered by this job

Competitive hourly rate

Job summary

WeShare Health is seeking a Shared Medical Bills Examiner I to review, process, and resolve medical bills submitted through our shared services model. You will collaborate with providers, members, and internal teams to ensure bills align with WeShare guidelines.

The role offers growth in healthcare operations, medical billing, or claims processing, with responsibilities spanning data entry, issue resolution, and high-volume task management.

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.
• Clear and professional communication skills, both written and verbal.
• Comfort working with computer systems, databases, and Microsoft Office.

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.

Skills

Attention to detail

Data entry

Communication

Microsoft Office

Education

High school diploma or equivalent

Tools

Microsoft Office

Job description

WeShare Health is seeking a Shared Medical Bills Examiner I to review, process, and resolve medical bills submitted through our shared services model. You will collaborate with providers, members, and internal teams to ensure bills align with WeShare guidelines.

The role offers growth in healthcare operations, medical billing, or claims processing, with responsibilities spanning data entry, issue resolution, and high-volume task management.