Healthcare Operations Support Specialist (SCA)

About the role

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.

Requirements

• 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.

Benefits

• 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

Pay

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