Provider Support Specialist

About Lantern

Lantern is the specialty care platform connecting people with the best care when they need it most. By curating a Network of Excellence comprised of the nation's top specialists for surgery, cancer care, infusions and more, Lantern delivers excellent care with significant cost savings to employers and their workforces. Lantern also pairs members with a dedicated care team, including Care Advocates and nurses, for the entirety of their care journey, helping them get back to good health, back to their families and back to work. With convenient access to specialists nationwide, Lantern means quality care is within driving distance for most. Lantern is trusted by the nation's largest employers to deliver care to more than 6 million members across the country. Learn more about us at lanterncare.com. 

About You:

• You use LOGIC in your decision making and understand that progress is critical to making change. You focus on the execution of your content while balancing a fast-paced environment and you take the time to celebrate both the small & big wins. 
• INCLUSION is a core tenant of your personal beliefs. A diverse and inclusive environment is incredibly important to you. You understand and desire to be a part of a diverse team with different experiences and perspectives & you cherish the differences in each individual that you interact with.
• You have the GRIT, drive and ambition to tackle big problems. Big problems require big ideas and a team that supports new ideas. 
• You care deeply for your customers are driven to keep HUMANITY in all decisions. Your customers aren’t just the individuals using your product. They are the driving factor in your motivation to make a change.
• Integrity guides you in life. Focusing on the TRUTH vs. giving people the answers they want to hear. 
• You thrive in a Team Environment. Collaboration is key in innovation and creating change.

These pillars of LIGHT are a reminder to our team that we are making a difference by providing guidance and support in navigating the often complex and confusing landscape of healthcare. We hope that through this LIGHT, individuals can find their way to the best care, resources, and support they need to get back to life. 

If this sounds like you, we would love to connect to speak further about career opportunities at Lantern.

Please apply to our role & someone from our Talent Acquisition Team will reach out to help you navigate our interview process.

Overview

The Member Bill Specialist at Lantern is a pivotal member of the Provider Communication Team, serving as the primary point of contact for members who receive bills for services. This role requires a proactive approach to researching and resolving billing errors, as well as an emphasis on engaging with members and promoting the value of our services. The ideal candidate will possess excellent communication skills and a customer-first mindset

Responsibilities:

• Investigate and determine the root cause of member billing issues, resolving errors promptly and accurately.
• Track and report trends related to common billing errors from providers to address and mitigate systemic issues.
• Ensure the completeness and authenticity of member bills. Verify that all charges are accurate and reflect the services provided.
• Maintain and audit Member Bill records on SharePoint in compliance with regulations, rules, policies, and procedures. Conduct regular reviews for accuracy.
• Knowledgeable about component coverage to effectively handle and resolve billing issues.
• Manage potential payments ranging from $500 to $2000, ensuring proper documentation and adherence to policies.
• Audit Member Bill payment requests and prepare them for Supervisor approval, ensuring compliance with all documentation and procedures.
• Engage with members professionally and empathetically, effectively communicating and promoting the value of Lantern services. Operate with a customer-first mindset to enhance member satisfaction.
• Proven experience in billing or customer service, preferably in a healthcare or insurance setting.
• Exceptional communication and interpersonal skills. Strong analytical and problem-solving abilities with attention to detail. Must have a thorough understanding of billing processes, component coverage, and relevant regulations.
• Perform additional duties as assigned, contributing to the overall efficiency and effectiveness of the claims processing team

 Benefits

Lantern does not discriminate on the basis of race, sex, color, religion, age, national origin, marital status, disability, veteran status, genetic information, sexual orientation, gender identity or any other reason prohibited by law in provision of employment opportunities and benefits.