Complete Surgical Care Solution Specialist jobs in United States
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Christian Healthcare Ministries ยท 3 weeks ago

Complete Surgical Care Solution Specialist

Christian Healthcare Ministries (CHM) is a health care sharing ministry for Christians, and they are seeking a Complete Surgical Care Solution Specialist to support their cost-containment and member advocacy efforts. This role involves guiding members through bundled surgical care options and ensuring a smooth, informed member experience.

Health CareInsuranceNon Profit
Hiring Manager
Irennemarie Vega, M.B.A.
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Responsibilities

Proactively engage members to assess surgical needs, explain bundled care options, and guide them through the selection process to ensure timely access to high-quality providers at optimal bundled rates
Collaborate with Coral and internal CHM teams to secure, validate, and deliver bundled surgical pricing that aligns with member needs and organizational cost-containment goals
Work closely with Provider Relations, Groups, and Date of Service teams to ensure accurate information flow, smooth transitions, and a seamless member experience
Review eligibility, medical records, and supporting documentation; identify gaps or additional requirements; and maintain accurate, organized records within CHM systems
Respond to member inquiries via phone and email, clarify treatment details and processes, and resolve concerns professionally and in a timely manner
Adapt to evolving processes and initiatives, manage frequent interruptions effectively, and contribute ideas that improve efficiency, accuracy, and the overall member experience

Qualification

Member engagementMedical workflow comprehensionCross-functional collaborationData accuracyPC operationCommunication skillsBasic understanding of medical billsDate of ServiceAdaptabilityProblem-solvingAttention to detail

Required

High school diploma or successful completion of a high school equivalency exam required
Minimum of 1 year of relevant experience in Program Services or a comparable member-support, healthcare, or service-oriented environment
Equivalent experience demonstrating medical workflow understanding, member communication, and administrative coordination may be considered
Strong verbal and written communication skills for effective interaction with members and internal teams
Proficiency in PC operation and use of information systems and applications
Working knowledge of Microsoft Office (Outlook, Teams, and related tools)
Ability to operate standard office equipment (e.g., printers, copiers, multi-line phones)
Basic understanding of medical bills and the bill processing workflow
Demonstrated ability to communicate effectively by phone

Preferred

Familiarity with Date of Service processes preferred

Benefits

Fully paid health benefits
Retirement and Life Insurance
12 paid holidays PLUS birthday
Lunch is provided DAILY.
Professional Development
Paid Training

Company

Christian Healthcare Ministries

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Christian Healthcare Ministries is a non-profit organization. It is a nonprofit, voluntary cost-sharing ministry.