Medical Review & Eligibility Support Specialist

Christian Healthcare Ministries; Barberton (OH); Hybrid; USD 40,000 - 52,000; Full time

Benefits offered by this job

Competitive compensation

Faith-driven career

Fully paid health benefits

Retirement & life insurance

Complimentary daily lunch

Professional growth & development

Paid training

Job summary

Christian Healthcare Ministries (CHM) is seeking a Medical Review Support Representative to assist the Medical Review team with member inquiries and internal requests. You will help ensure accurate documentation, timely follow-up, and clear communication while upholding CHM’s mission and standards.

The role focuses on supporting medical review workflows, maintaining compliance, and delivering professional assistance to members and internal teams.

Qualifications

• 1+ years in administrative support, member services, customer service, or healthcare-related role preferred.
• Experience handling documentation, records, or case-related information strongly preferred.
• HIPAA or healthcare compliance training preferred; training can be provided post-hire if needed.

Responsibilities

• Support Medical Review operations by assisting with member and internal inquiries related to medical review and eligibility processes.
• Review incoming correspondence and documentation to ensure completeness and accuracy before routing to appropriate Medical Review teams.
• Coordinate communication between members, Medical Review staff, and supervisors to support timely resolution of requests.
• Accurately document all interactions, correspondence, and actions taken within CHM systems in accordance with established guidelines.
• Maintain consistent messaging aligned with Medical Review policies, procedures, and eligibility guidelines.
• Assist with administrative and process-related tasks that support Medical Review efficiency and workflow continuity.
• Uphold confidentiality, HIPAA compliance, and CHM standards in all interactions and documentation.

Skills

Communication

Attention to detail

Time management

Process coordination

Documentation

Collaboration

Education

High school diploma

Associate or Bachelor’s degree preferred

Job description

Christian Healthcare Ministries (CHM) is seeking a Medical Review Support Representative to assist the Medical Review team with member inquiries and internal requests. You will help ensure accurate documentation, timely follow-up, and clear communication while upholding CHM’s mission and standards.

The role focuses on supporting medical review workflows, maintaining compliance, and delivering professional assistance to members and internal teams.