Pharmacy Validation Specialist
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At a glance
Job overview
Machinify is hiring a Pharmacy Validation Specialist. Machinify, a healthcare intelligence firm, seeks a Payment Integrity Validation Specialist to verify insurance eligibility, document data, meet production quotas, and provide excellent customer service while using multiple computer systems and supporting team collaboration.
Key focus areas include Verify medical insurance eligibility data, Accurately document gathered data, and Meet daily production quotas.
Important skills include Oral Communication, Work Independently, Collaboration, and Microsoft Word. Preferred (not required): Communication, Attention To Detail, Organizational Skills, and Excel.
Skills & qualifications
Skills
Qualifications
Benefits
Full job description
Experience Required
None
Minimum Education Required
High School Diploma/G.E.D.
Compensation
$7.25 / 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.
About the Opportunity
A Payment Integrity Validation Specialist is an integral part of a dynamic team, aiding in the facilitation of coordination of benefits. Validation Specialists utilize access to insurance eligibility and claims payment information as well as outreach to insurance carriers to ensure member records are accurate. This role builds a foundation of knowledge that supports future advancement.
What you'll do
Verifies medical insurance eligibility data.
Accurately documents data gathered.
Meets daily production quotas
Follows specific timeframes to complete tasks.
Uses multiple computer systems to work efficiently.
Provides excellent customer service.
What experience you bring (Role Requirements)
High School diploma, GED, or equivalent combination of experience.
Experience with health insurance ispreferred, but not required.
Excellent oral and written communication skills, including on the phone, are required.
Ability to work well independently or in a team environment.
Very strong attention to detail and organizational skills.
Word and Excel proficiency required.
Experience in the healthcare field is helpful, but not required.
What Success Looks Like...
After 3 months
You will have a strong understanding of the role.
You begin building relationships and collaborating with peers.
You develop effective time and priorities management.
You receive initial feedback about your performance and are using it to improve.
You've gained confidence in your abilities and are starting to feel more comfortable in your role.
After 1 year
You have mastered the tasks and responsibilities of the position, executing them with confidence and efficiency.
You have established a strong network of internal relationships and are recognized as a key collaborator.
You've been entrusted with greater responsibility indicating the company's confidence in your abilities.
You see opportunities for career progression and personal development.
Pay range: $22.00/hour. This is a non-exempt position.
What's in it for you
PTO, Paid Holidays, and Volunteer Days
Eligibility for health, vision and dental coverage, 401(k) plan participation with company match, and flexible spending accounts
Tuition Reimbursement
Eligibility for company-paid benefits including life insurance, short-term disability, and parental leave.
Remote and hybrid work options
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
4355950009
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