Healthcare Operations Support Specialist – SCA

🔥 0 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

💝 Customer Support

🦅 H1B Visa Sponsor

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Logo of Machinify

Machinify

1001 - 5000 employees

⚕️ Healthcare Insurance

🤖 Artificial Intelligence

☁️ SaaS

💰 $10M Series A - Machinify on 2018-10

Healthcare Insurance • Artificial Intelligence • SaaS

Machinify is a healthcare-focused AI platform and services company that reshapes healthcare payments and payment integrity. Its AI operating system unifies claims, medical records, contracts, and policies, and uses foundation models and task-specific agents to automate and improve coding, payment accuracy, recoveries, and cost avoidance. Machinify serves health plans (including 18 of the top 20), supports insourced, hybrid, or fully-managed deployments, and emphasizes measurable outcomes — reporting 85+ customers, 270M member lives covered, and $6B+ in annual cost avoidance and recoveries.

📋 Description

• 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

🎯 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.

🏖️ Benefits

• Equal Employment Opportunity at Machinify • Reasonable accommodation for applicants

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