Medical Bill AnalystChristian Care Ministry (Medi-Share)

The Medical Bill Analyst makes sound determinations to share, deny, or pend medical bills based on Medi-share Guidelines. This person researches diagnoses and treatment plans on bills to ensure accuracy and necessity, issues payments, denials of payment, or requests for information from providers or members to make sound determinations.

• Investigate and determine eligibility of medical bills according to Medi-Share program guidelines

• Accurately and efficiently complete all necessary steps to properly adjudicate a medical bill

• Demonstrate the aptitude to learn and successfully complete 20% to 40% of all queues with a skill ability between 10% to 40%

• Maintain an average production rate of 25 bills per hour with a minimum of 90% accuracy

• Communicate verbally and in writing with other departments as necessary to gather proper information to make bill determinations

• Contribute to the exercise and expression of Christian Care Ministry’s Christian beliefs

• Perform all other duties as assigned

• High School diploma or GED required

• Basic knowledge of medical terminology preferred

• Knowledge of ICD-10 and CPT codes preferred

• Medical coder or previous bill processing experience preferred