Medical Bill Examiner

The Medical Bill Examiner is responsible for conducting quality audits on medical bills submitted to CHM and assigning personal responsibility amounts. This role ensures compliance with CHM Guidelines while maintaining high standards of accuracy and quality assurance. WHAT WE OFFER Compensation based on experience Faith and purposed-based career opportunity! Fully Paid Health Benefit Retirement and Life insurance 12 Paid Holidays PLUS Birthday Lunch is provided and paid from DAILY. Professional Development PRIMARY RESPONSIBILITIES Audit itemized bills for accuracy (e.g., patient name, benefit code, place of service, incurred date, total charges) Review documentation to ensure services rendered and clinical complexity are accurate and complete Confirm member eligibility and verify monthly contributions and required documentation Identify duplicate bills and ineligible charges Process applicable medical discounts Escalate or de-escalate bills to appropriate departments for further review Assign yearly personal responsibility based on membership level and incident qualifying amount Identify opportunities to improve quality and productivity Support implementation of policies and procedures aligned with CHM Guidelines Maintain an error rate of 1% or less Perform other duties as assigned. CORE COMPETENCIES & SKILLS Analytical thinking Communication and collaboration Problem-solving QUALIFICATIONS High school diploma or equivalent Medical background preferred Ability to maintain confidentiality and comply with HIPAA Strong analytical and research skills with high attention to accuracy Excellent written and verbal communication skills Strong organizational and multitasking abilities Detail-oriented and process-driven Proficiency with PC systems and Microsoft Office (Outlook, Word, Excel, Access) About Christian Healthcare Ministries Founded in 1981, Christian Healthcare Ministries (CHM) is a health care sharing ministry for Christians. CHM is a nonprofit, voluntary cost-sharing ministry through which participating Christians meet each other’s medical bills. The mission of CHM is to glorify God, show Christian love, and experience God’s presence as Christians share each other’s medical bills. #J-18808-Ljbffr Christian Healthcare Ministries