Machinify
Healthcare Billing Recovery Case Specialist I (SCA)
US
Sponsorship not specifiedDetected 1 day ago
ComplianceAuditingCustomer SupportHIPAAICD-10CommunicationMentoring
About the role
- 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.
- As a Healthcare Billing Recovery Case Specialist I, you will work Group Healthcare (GHP) and/or Non-Group Healthcare (NGHP) Provider delinquent accounts under the CMS Medicare Secondary Payer recovery program.
- Machinify is an employment at will employer.
Responsibilities
- Arrives to work on time, works assigned schedule, and maintains regular good attendance.
- and, successfully passes and/or obtains and maintains clearances statuses as a condition of employment. (note: client/government clearance requirements are not determined or decisioned by Performant.)
- Performs other duties as assigned.
Requirements
- Minimum 2 years of experience in customer service, billing reclamation or recovery, or call center role demonstrating application of similar skills.
- High School diploma or GED is required.
- Familiarity with information in forms UB04 and CMS 1500
- Ability to communicate professionally and effectively with providers, carriers, beneficiaries and other audiences regarding claims and billing payment.
- Experience in handling Medicare and Medicaid claims.
- ability to listen, be succinct and demonstrate positive customer service attitude.
- Proficiency using standard office technology
- Ability to apply knowledge learned in training from various forms (memos, classroom training, on-line training, meetings, discussions, individual coaching, etc.).
- Ability to follow process, procedures and regulations in the workplace.
- Ability to adapt quickly and transition effectively to changing circumstances, assignments, programs, processes.
- Minimum 6 months of medical billing experience, including Medicare, demonstrating depth of knowledge and capability required for the position.
- Knowledge and experience with medical claim billing procedures, medical terminology and medical coding, preferably in a role generating, auditing, recovery and/or researching the same.
- Experience with Coordination of Benefits, Third Party Liability, Medicare Secondary Payer
- Proven ability to gather and interpret Explanation of Benefits (EOB) to answer questions and resolve medical billing issues
- Protected patients' privacy, understands and adheres to HIPAA standards and regulations.
- Remarkable interpersonal and communication skills
- Self-motivated and thrives in a fast-paced business operations department performing multiple tasks cohesively, with keen attention to detail.
Compensation
- In accordance with applicable state laws, we do not inquire about salary history during the recruitment process.
- Competitive salary, 401(k) with company match
- 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.
Benefits
- Top Medical/Dental/Vision offerings
- Tuition reimbursement
- Additional health and wellness benefits and perks
- Flexible and trusting environment where you'll feel empowered to do your best work
- 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.
Company info
- We are hiring for different levels, and our Recruiting team will let you know if you qualify for a different role/range.
Equal opportunity
- We are proud to be an equal opportunity workplace.
- If you require a reasonable accommodation to complete any part of the application or recruitment process, please let our recruiters know.
Visa & Work Authorization
- al employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender, gender identity or expression, or veteran status
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This listing is sourced directly from Machinify's careers page and normalized into a canonical job model.