Healthcare Operations Support Specialist (SCA)
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At a glance
Job overview
Machinify is hiring a Healthcare Operations Support Specialist (SCA). Machinify is a leading healthcare intelligence company that provides AI-powered platforms to health plan clients. The HCS Operations Support Services team performs activities related to healthcare audit client inventory, including claim re-pricing, status reporting, and issue resolution. This position supports operational and strategic business initiatives, working with business units and audit teams to ensure on-time deliverables.
Key focus areas include Monitor internal and external reports and take specific actions, Respond to client correspondence and email request for information, and Maintain provider information.
Successful candidates bring High School Diploma/GED. Important skills include Excel, Microsoft Office, Communication, Problem Solving, Questioning Skills, and Listening Skills. Preferred (not required): Healthcare Data Analysis and Requirements Gathering.
Skills & qualifications
Skills
Qualifications
Benefits
Full job description
Experience Required
None
Minimum Education Required
High School Diploma/G.E.D.
Compensation
$18.85 - $23.75 / hourly
Hours Per Week
40
Number Of Positions
1
Work Schedule and Shift Requirements
First (Day)
Job Description
Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched value, transparency, and efficiency to health plan clients across the country. Deployed by over 85 health plans, including many of the top 20, and representing more than 270 million lives, Machinify brings together a fully configurable and content-rich, AI-powered platform along with best-in-class expertise. We're constantly reimagining what's possible in our industry, creating disruptively simple, powerfully clear ways to maximize financial outcomes and drive down healthcare costs.
The HCS Operations Support Services team performs activities to healthcare audit client inventory activities such as claim re-pricing, client inventory status reporting, responding to client inquiries, researches and resolves issues that may arise, and other client account ad-hoc reporting and inventory support activities. This position supports short and long term operational/strategic business initiatives, working closely with the business units and the audit teams as well as other team members to ensure on-time deliverables.
What You'll Do:
Monitor internal and external reports and take specific actions based on the information.
Respond to client correspondence and email request for information.
Maintain provider information.
Re-price claims using client contracts and systems.
Create, document, and modify processes for new and existing clients as needed.
Participate in special ad hoc projects and program initiatives as assigned.
Contribute to team effort by completing assigned projects on time.
Receive feedback and adjusts work priority as necessary.
Perform other duties as assigned.
What You Bring:
High School Diploma/GED is required.
Some college, Associate's or Bachelor's degree preferred.
Health care data analysis experience including gathering and documenting requirements for projects of all sizes a plus.
Experience using Microsoft Excel and other Microsoft Office applications.
Outstanding written and verbal communication skills.
Good critical thinking, questioning, and listening skills; excellent attention to detail.
Problem-solving and task management skills.
Time management skills for managing multiple tasks simultaneously, while completing work within allocated time frames.
Ability to handle changing situations and work within a diverse group.
Strong Microsoft Office suite knowledge.
Ability to work independently but also as a member of a team.
Ability to meet objectives with minimal supervision.
Strong technical skills are desired.
Ability to work effectively with diverse teams is desired.
Can meet objectives with minimal supervision.
What We Offer:
Work from anywhere in the US! Machinify is digital-first.
Top Medical/Dental/Vision offerings
FSA/HSA
Tuition reimbursement
Competitive salary, 401(k) with company match
Additional health and wellness benefits and perks
Flexible and trusting environment where you'll feel empowered to do your best work
The salary for this position is based on an array of factors unique to each candidate: Such as years and depth of experience, set skills, certifications, etc. We are hiring for different levels, and our Recruiting team will let you know if you qualify for a different role/range.
Pay range: $18.85 - $23.75
Equal Employment Opportunity at Machinify
We are committed to equal employment opportunity regardless of r ace, color, ancestry, r eligion, s ex, national origin, s exual orientation, age, citizenship, marital status, disability, gender, gender identity or expression, or veteran status. We are proud to be an equal opportunity workplace. Machinify is an employment at will employer. We participate in E-Verify as required by applicable law. In accordance with applicable state laws, we do not inquire about salary history during the recruitment process. If you require a reasonable accommodation to complete any part of the application or recruitment process, please let our recruiters know. See our Candidate Privacy Notice at:https://www.machinify.com/candidate-privacy-notice/
Equal Opportunity Employer
Veteran Friendly Employer
Job Type
Full time
Benefits Offered
Not specified
Veteran Preference
No
Place of Work
On-site
Requisition ID
4324111009
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