[Remote] Healthcare Operations Support Specialist (SCA)

Note: The job is a remote job and is open to candidates in USA. Performant Healthcare, Inc. is now part of Machinify, a leading healthcare intelligence company. The Healthcare Operations Support Specialist will perform activities related to healthcare audit client inventory, such as claim re-pricing and client inquiries, while supporting operational and strategic business initiatives.

Responsibilities

• Monitors internal and external reports and take specific actions based on the information
• Responds to client correspondence and email request for information
• Maintains provider information
• Re-prices claims using client contracts and systems
• Creates, documents, and modifies processes for new and existing clients as needed
• Participates in special ad hoc projects and program initiatives as assigned
• Contributes to team effort by completing assigned projects on time
• Receives feedback and adjusts work priority as necessary
• Performs other duties as assigned

Skills

• High School Diploma/GED is required
• 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
• Experience using Microsoft Excel and other Microsoft Office applications
• Must submit to, and pass, a pre-hire criminal background check and drug test (applies to all positions)
• Ability to obtain and maintain client required clearances, as well as pass regular company background and/or drug screenings post-hire, may be required for some positions
• Some positions may require the total absence of felony and/or misdemeanor convictions
• Must not appear on any state/federal debarment or exclusion lists
• Must complete the Machinify Teleworker Agreement upon hire and adhere to the Agreement and all related policies and procedures
• 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

Benefits

• Medical
• Dental
• Vision
• HSA/FSA options
• Life insurance coverage
• 401(k) savings plans
• Family/parental leave
• Paid holidays
• Paid time off annually

Company Overview