Job Description

Position Summary

The Advantage Care Solution Specialist is a key member of the Program Services department, collaborating with Coral, a partnered company, to ensure the delivery of bundled pricing. This position requires effective cross- departmental collaboration with Provider Relations, Groups, and Date of Service teams. The primary objective of the Advantage Care Solution Specialist is to engage with members early on to secure the best bundled rates while ensuring access to high- quality providers.

What We Offer

• Compensation based on experience.
• Faith and purpose-based career opportunity!
• Fully paid health benefits
• Retirement and Life Insurance
• 12 paid holidays PLUS birthday
• Lunch is provided DAILY.
• Professional Development
• Paid Training

Critical Thinking Skills: The Advantage Care Solution Specialist is responsible for not only accurately entering data but also assessing eligibility, evaluating the need for additional information or documentation, and comprehending and clarifying medical records and treatment details.

Communication Skills: The Advantage Care Solution Specialist must possess excellent verbal and written communication skills to effectively interact with CHM members and team members across various channels.

Computer Skills: This role requires proficient computer skills, including manual data entry, coordination with members for medical records, incident creation, internal action item maintenance, and evaluation of requirements for the Coral platform. Team members will utilize computer tools to explore alternative options. Additional computer tasks involve document management, navigation of Microsoft Outlook and Microsoft Teams, and verification of critical checks within Gift Manager, our specialized program.

Flexibility and Adaptability: The Advantage Care Solution Specialist must exhibit flexibility and adaptability to handle interruptions and adapt to changes in processes and responsibilities. Regular interruptions may occur throughout the day to address inquiries, respond to Teams messages, and communicate updates. As the cost-containment initiative progresses and new roles emerge, changes and updates will be frequent, necessitating prompt adjustments, clarifications, and corrections.

Additional Functions: Engaging with members: Interacting with members to understand their needs, provide information, and offer assistance throughout the selection process.

Product knowledge: Developing a deep understanding of the services offered by CHM and Coral and effectively communicating their features, benefits, and options to members.

Assessing member requirements: Evaluating member requirements, preferences, and constraints to help them select the most suitable service that aligns with their needs.

Providing recommendations: Offering expert advice and recommendations based on the member's needs and preferences, considering factors such as budget, specifications, and desired outcomes.

Handling inquiries: Responding to member inquiries, resolving issues, and addressing concerns in a timely and professional manner through various communication channels, including phone and/or email.

Documentation and record-keeping: Maintaining accurate and organized records of member interactions, inquiries, orders, and other relevant information in the organization's database.

Collaborating with internal teams: Collaborating with various internal teams to ensure effective communication, smooth transitions, and a seamless member experience.

Continuous improvement: Actively seeking opportunities for process improvement, suggesting enhancements to processes, and providing feedback to member experience and overall effectiveness.

Qualifications

• High School Diploma or successful completion of a high school equivalency exam.
• Must possess excellent verbal and written communication skills to effectively interact with CHM members and team members across various channels.
• Proficient PC operation skills, including working with information systems and applications.
• Previous experience using Microsoft Office programs.
• Competency in operating routine office equipment (e.g., faxes, copy machines, printers, multi- line telephones, etc.).
• Experience with Medical Bills preferred.
• Basic understanding of the entire Bill Processing Workflow.
• Strong analytical and problem-solving skills.
• Demonstrated history of effective phone communication skills.

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.

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