Shared Medical Bills Examiner I

ADP, Inc.; California, Northern (MO, KY); Hybrid; USD 49,594,000 - 66,125,000; Full time

Benefits offered by this job

Competitive Hourly

Great culture with founders

Impact the healthcare industry

Job summary

WeShare Health in Orange, CA is seeking a Shared Medical Bills Examiner I to help review, process, and resolve bills submitted through our shared services model.

You will collaborate with providers, members, and internal teams to ensure bills are handled accurately, efficiently, and in line with WeShare’s guidelines, building a career in healthcare operations, medical billing, or claims processing.

Qualifications

• High school diploma or equivalent.
• 6+ months of customer service, administrative, or healthcare support experience.
• Strong attention to detail and data entry accuracy.
• Ability to manage a high volume of tasks in a fast-paced environment.
• Clear and professional written and verbal communication.
• Comfort working with computer systems and databases.

Responsibilities

• Review incoming shared medical bills for accuracy and eligibility.
• Verify member and provider details, coding, and docs.
• Process bills timely following policies and regulatory requirements.
• Identify discrepancies and follow up to resolve issues.
• Communicate with providers on billing questions and documentation needs.
• Maintain records of bill status and resolution steps.

Skills

Attention to detail

Customer service experience

Data entry accuracy

Communication skills

Education

High school diploma or equivalent

Tools

Microsoft Office

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Shared Medical Bills Examiner I

Orange, CA, US

9 days ago Requisition ID: 1095

Shared Medical Bills Examiner

Healthcare is increasingly unaffordable for many Americans. Most people believe they have two choices: increasingly expensive, restrictive employer insurance, or an ACA plan that keeps getting pricier. Many don't know there's a third, smarter option.

WeShare Health is that option.

WeShare Health’s mission is to make healthcare simpler, more affordable, and more human. We're a nonprofit, faith-inspired healthcare sharing organization where members contribute monthly to share one another's eligible medical expenses. We're proudly not insurance, and that's the point.

Members access a national network of 1 million physicians at 30 to 60 percent less than comparable traditional insurance. Since 2018, WeShare Health has served more than 100,000 members and shared more than $50 million in medical expenses. Our purpose is clear: people before profit.

WeShare Health is led by senior executives with deep experience across for-profit and nonprofit enterprises. We’re rated 4.6 out of 5 on Google Reviews, rated 4.7 on Trustpilot by members and certified as a Great Place To Work® by our employees. If you have a bias for action, enjoy challenges, and want to challenge the status quo to make an impact in a massive industry, WeShare Health might be the place for you!

About this role

The Shared Medical Bills Examiner plays a key role in reviewing, processing, and resolving medical bills submitted through WeShare’s shared services model. This role is ideal for someone looking to build a career in healthcare operations, medical billing, or claims processing. You’ll work closely with providers, members, and internal teams to ensure bills are handled accurately, efficiently, and in alignment with WeShare’s guidelines.

Key Responsibilities

Medical Bill Review & Processing

• 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

Billing Resolution & Follow-Up

• 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

Data Entry & Documentation

• 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

Provider & Member Support

• 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

Quality & Compliance

• Follow established workflows to ensure consistency and accuracy in bill processing
• Escalate complex or unusual cases to senior team members as needed
• Support continuous improvement by identifying recurring issues or process gaps

Required 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

Preferred Qualifications

• Experience in medical billing, claims processing, or healthcare administration
• Familiarity with CPT, ICD-10, or HCPCS codes
• Understanding of healthcare billing workflows or insurance processes
• Strong organizational skills and ability to prioritize effectively
• Customer service mindset with a focus on problem-solving

What we offer

• Competitive Hourly
• Ability to make important enhancements to the Healthcare industry.
• Great culture where you work with the founders and key stakeholders in a relaxed, but innovative atmosphere.

WeShare Health is an Equal Opportunity Employer. Our business is fast-paced and will continue to evolve. As such, the duties and responsibilities of this role may be changed as directed by the Company at any time to promote and support our business needs. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, gender expression, national origin, protected veteran status, or any other basis protected by applicable law and will not be discriminated against on the basis of disability.