Medical Billing Specialist

Zion HealthShare; Saint George (UT); On-site; USD 47,527,000 - 64,257,000; Full time

Benefits offered by this job

Paid holidays

PTO

Health insurance

Dental insurance

Vision insurance

HSA with match

Life insurance

401k match

Free snacks

Team events

Job summary

Zion HealthShare is seeking a Medical Billing Specialist to oversee payment of medical bills related to Sharing Request submissions and to communicate with members and providers to ensure timely payments.

Responsibilities include creating records, obtaining information for determinations, processing provider and member payments, managing emails and phone inquiries, and keeping all parties informed with regular updates while ensuring a high level of member satisfaction.

Qualifications

• High School Diploma or GED required.
• 1-2 years of customer service experience preferred.
• Proficient in Microsoft Suite and typing speed of 45 WPM.
• Able to work in a fast-paced environment and handle multiple programs.

Responsibilities

• Adhere to all company, department and position policies and procedures.
• Manage Medical Need Submissions including creating records, obtaining information for determination, processing payments, and communicating status with member.
• Coordinate payment to providers and members in a timely manner.
• Support in email inbox management.
• Support in managing and addressing phone call inquiries.
• Keep members and providers informed about medical needs through regular updates.
• Strive to meet and exceed member expectations with high satisfaction.
• Remain flexible to changes in job responsibilities.

Skills

Customer service

Time management

Communication skills

Microsoft Office

Typing 45 WPM

Multitasking

Education

High School Diploma or GED

Tools

CRM system

Job description

Zion HealthShare is a nonprofit medical cost-sharing program that provides an organized structure for members to contribute toward each other’s medical costs. We offer individuals and organizations across the country an affordable alternative to insurance; this provides peace of mind. Our goal is to be America’s leading HealthShare. We strive to meet our members’ needs on a personal level by following our core values: compassion, simplicity, transparency, and community.

Everything we do for our members is to ensure they feel respected and to let them know we truly care about their needs. Our mission is to change the healthcare industry by connecting like-minded individuals to an innovative and affordable medical cost-sharing community.

About the role

The Medical Billing Specialist plays a crucial role in overseeing and managing the payment of medical bills related to Sharing Request Submissions that are received. This includes communicating directly with members through written and verbal communication, communicating with providers to make sure that payment is received in a timely manner.

What you'll do

• Adhere to all company, department and position policies and procedures.
• Manage the Medical Need Submissions received from members which include creating the record within the system, obtaining additional information for determination, process provider & member payments, create medical bills for payout, and communicate status with member.
• Coordinate payment to providers and members in a timely manner.
• Support in email inbox management.
• Support in managing and addressing phone call inquiries.
• Keep members and providers informed about medical needs through regular written and verbal updates.
• Continuously strive to meet and exceed member expectations, ensuring a high level of member satisfaction.
• Remain flexible and adaptable to changes in job responsibilities or procedures to meet evolving organizational needs.

Qualifications

• High School Diploma/GED
• 1-2 years previous Customer Service experience
• Time Management Skills
• Professional level of verbal and written communication
• Thrive in a fast-paced work environment
• Proficient in Microsoft Suite
• Experience working with 2 monitors, and multiple programs running at the same time
• Sit for up to 8 hours a day and look at dual computer screens
• Type on a keyboard at a minimum of 45 WPM

Experience preferred

• Experience working with and interpreting medical bills, statements, receipts and medical records
• Familiarity with HIPAA
• Experience or familiarity in working from a CRM (Customer Relationship Management) system
• 13 paid holidays, including your birthday and personal preference day, plus up to 3 weeks of paid time off to balance work and life.
• Healthcare package including Medical, Dental, Vision, HSA with a company match, Supplemental Insurance like Life and Short-Term Disability, Health Share and a free DPC Memberships.
• Invest in your future with a 401k plan backed by a solid 4% match from us.
• Enjoy the simplicity of bi-weekly paychecks along with the perk of free snacks and regular lunches available onsite.
• Build strong connections with colleagues at our frequent, fun team-building events.

The pay range for this role is:

19.50 - 19.50 USD per hour (Saint George)