Cost Control Specialist
New
C
CrowdHealthHealthcare pricing
This role is open to US residents only, not including residents of California, Rhode Island, New York, or New Jersey.Full-Time
SalaryAnnual salary of $75,000 + equity
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Job Details
- Required Skills
- Microsoft Excel
Requirements
- Background in healthcare services, pricing, or billing is strongly preferred.
- Experience with healthcare cost benchmarking tools and negotiation platforms.
- Familiarity with Single Case Agreements and cash-pay pricing models.
- Ability to assess healthcare cost fairness and identify high-value care options.
- Strong command of CPT/HCPCS codes and medical terminology.
- Experience coordinating medical records transfers, scheduling, and HIPAA-compliant data transfers.
- Ability to communicate professionally with surgical centers and hospital administrators.
- Negotiation and resolution skills for sensitive, high-stakes financial cases.
- Ability to explain complex cost-related topics to Members in plain terms and de-escalate tense situations.
- Strong organization and attention to detail in tracking cases, financial transactions, and payment milestones.
- Proficiency in Excel and ability to use care pricing databases and internal case management tools.
Responsibilities
- Maintain working knowledge of medical care cost databases, tools, and benchmarking platforms.
- Support Care Advocates in identifying fairly priced providers and facilities and evaluating care recommendations.
- Research providers and negotiate transparent cash-pay rates for elective, high-cost surgeries.
- Coordinate procedures, medical records transfers, and pre-surgery requirements with Members and providers.
- Manage Single Case Agreements and bundled cash-pay pricing with providers and external negotiation partners.
- Coordinate with Care Advocates and Crowdfunding Specialists on Member communication, case navigation, funding timelines, and approvals.
- Handle pricing disputes and escalated complaints, and escalate unresolved cases to leadership.
- Explain negotiation outcomes to Members and manage required documentation, including HIPAA releases and ACH forms.
- Maintain records of payment terms, deposits, settlements, and case progress.
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