Cost Control Specialist

1 hour, 57 minutes ago
Full-time
Mid Level
Operations
CrowdHealth

CrowdHealth

CrowdHealth is a healthcare crowdfunding platform that offers an innovative model for accessing and paying for healthcare without traditional insurance. With a focus on providing freedom from insurance middlemen and government influence, CrowdHealth pr...

Insurance
11-50
Founded 2021

Description

  • Research medical costs and determine fair market value for procedures and services.
  • Support Care Advocates with provider selection, cost evaluations, and care recommendations.
  • Source high-value providers and facilities for elective, high-cost surgeries and secure cash-pay rates.
  • Negotiate transparent pricing, bundled agreements, and Single Case Agreements with providers and external partners.
  • Guide Members through scheduling, medical-record transfers, pre-surgery requirements, and post-negotiation outcomes.
  • Coordinate with Care Advocates, Crowdfunding Specialists, providers, and negotiation partners to manage cases and funding timelines.
  • Resolve pricing disputes and escalated Member concerns, escalating unresolved cases to leadership.
  • Maintain accurate records of payment terms, deposits, settlements, and case documentation.
  • Prepare case summaries, HIPAA releases, ACH forms, and other required documentation.

Requirements

  • US residency outside California, Rhode Island, New York, and New Jersey.
  • Background in healthcare services, pricing, or billing (strongly preferred).
  • Experience with healthcare cost-benchmarking tools and negotiation platforms.
  • Familiarity with Single Case Agreements and cash-pay pricing models.
  • Expertise assessing healthcare cost fairness and identifying high-value care options.
  • Strong knowledge of CPT/HCPCS codes and medical terminology.
  • Experience coordinating medical-record transfers, scheduling, and HIPAA-compliant data transfers.
  • Ability to communicate persuasively with provider offices, surgical centers, and hospital administrators.
  • Experience handling sensitive, high-stakes financial negotiations and de-escalating tense situations.
  • Proficiency in Excel, care-pricing databases, and case-management tools.

Benefits

  • Annual salary of $75,000 plus equity.
  • Remote work flexibility.
  • 12 weeks of paid maternity and paternity leave.
  • 401(k) plan.
  • No cap on paid time off.

Interested in this position?

Apply directly on the company website

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