Needs Processor

Needs Processor

About Company

Samaritan Ministries is a Biblical solution to health care. It is not insurance. We deliver authentic, compassionate, and personal service in the name of Christ to enable and inspire members to provide for one another’s medical needs through prayer, encouragement, and financial support.

From demonstrating Christ-centered compassion to modeling best practices in health care sharing, Samaritan Ministries is committed to keeping Jesus at the center of everything we do. The way we interact with our colleagues and engage with our members is a testament that we are ultimately serving Christ and His Kingdom.

Summary

To serve the members of Samaritan Ministries International (SMI) by providing accurate and efficient processing of member needs according to ministry guidelines.

Competencies

• Information Management
• Processing and Recording Financial Transactions
• Analytical Thinking
• Attention to Detail
• Digital Literacy
• Decision Making
• Acting with Integrity, Empathy, and Compassion
• Collaborating with Others
• Neighbor Focus
• Pursuing Excellence
• Writing Skills
• Product and Technical Knowledge

Key Responsibilities

• Compassionately, efficiently, and graciously care for members.
• Access and assess the member’s medical need history as it relates to time bound sharing limitations.
• Determine if member’s medical need meets the criteria for sharing according to the SMI Guidelines.
• Determine whether or not the corresponding bills meet the criteria for sharing according to the SMI Guidelines and adjudicating those sharing decisions with consistency, critical thinking and compassion.
• Provide timely and clear communication about the above decisions and rationales to expedite lifting the spiritual and financial needs of our members and to provide consistent rulings for equitable treatment of all members.
• Miscellaneous Duties: Performs other related duties, as assigned

Qualifications and Experience

• Two-year degree from an accredited university or the equivalent combination of education and experience.
• Staff are required to possess applicable Guideline and internal process knowledge to bring value to SMI in this role, know and utilize resources well, ask questions of supervisors and those in support roles to ensure full understanding, gain and retain knowledge to keep up with changes and accept and engage with the Training and Reviews Teams to grow knowledge for current and future responsibilities.
• SMI Guidelines, MSP and Interpretation of Guidelines
• Medical bill interpretation
• General knowledge of Medical Terminology and Coding
• Software: Groundhog, Microsoft Office, Adobe, and Power Apps

Additional Information

• Tasks are normally conducted in a regular office environment, requiring use of computer and mouse and other standard office equipment. Staff usually remain in a stationary position, often standing or sitting for prolonged periods.
• Staff will observe safety principles while performing the duties of the position
• May need to lift and move items up to 35 lbs on occasion
• Onsite staff will be required to travel to office and have a valid driver’s license.
• Staff must perform work in a dedicated space that is free from distractions and interruptions, where others cannot view their work or overhear conversations.
• Have an approved internet speed, latency, and jitter by the SMI IT Department
• Staff will be provided with equipment that is necessary for the position, and the equipment is unable to be used for non-business uses.
• Remote staff are unable to operate as a primary caregiver while working remotely. ***Primary caregiver is defined as when a staf member is operating as the primary responsible person in a home with children under age 14 or providing care to anyone needing intermittent or constant attention and/or supervision.
• Staff are encouraged to keep cameras on during virtual meetings to foster engagement, enhance communication, and strengthen team rapport.
• Disclaimer: This job description is intended to describe the general nature and level of work being performed by people assigned to this job. They are not intended to be an exhaustive list of responsibilities, duties and skills required of personnel in the classification. Work hours may be irregular including performing duties on evenings or weekends.
• This position requires an active commitment to the mission and values of SMI. In the course of performing job duties, the employee will act in a manner that is Christ-honoring as well as Christ-like, demonstrating a personal Christian faith and witness in all interpersonal interactions.