Medical Review Operations Specialist

Christian Healthcare Ministries; Barberton (OH); On-site; USD 35,000 - 48,000; Full time

Benefits offered by this job

Fully paid health benefits

Retirement and Life Insurance

12 paid holidays PLUS birthday

Lunch provided daily

Professional Development

Paid Training

Job summary

Christian Healthcare Ministries is seeking a Medical Review Support Representative to assist the Medical Review team. This role supports member inquiries and internal requests regarding medical review and eligibility processes while ensuring documentation handling and timely communication.

Responsibilities include reviewing documentation, coordinating communication, and maintaining compliance with established guidelines.

Qualifications

• 1+ years of experience in administrative support or customer service preferred.
• Experience handling documentation and case-related information strongly preferred.
• HIPAA or healthcare compliance training preferred.

Responsibilities

• Support Medical Review operations with member inquiries and eligibility processes.
• Review correspondence to ensure completeness and accuracy before routing.
• Coordinate communication between members and Medical Review staff.
• Document all interactions and actions within CHM systems.
• Maintain consistent messaging aligned with Medical Review policies.
• Assist with administrative tasks to support workflow continuity.
• Uphold HIPAA compliance and confidentiality in all interactions.

Skills

Clear communication

Attention to detail

Time management

Process coordination

Documentation skills

Collaboration

Education

High school diploma

Associate or Bachelor’s degree

Job description

Christian Healthcare Ministries is seeking a Medical Review Support Representative to assist the Medical Review team. This role supports member inquiries and internal requests regarding medical review and eligibility processes while ensuring documentation handling and timely communication.

Responsibilities include reviewing documentation, coordinating communication, and maintaining compliance with established guidelines.