[Remote] Healthcare Operations Support Specialist (SCA)

Remote Full-time
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 Billions of dollars are lost each year to waste, improper payments and unpaid debts. It was founded in 1976, and is headquartered in Livermore, California, USA, with a workforce of 1001-5000 employees. Its website is
Apply Now

Similar Opportunities

Global Credit Trading Analytics Associate

Remote Full-time

Project Coordinator I

Remote Full-time

[Remote] AI Digital Transformation Process Design Specialist

Remote Full-time

Information Technology System Administrator

Remote Full-time

Employment Specialist (Pierce County)

Remote Full-time

Junior Account Executive - Industry Dive

Remote Full-time

Administrative Associate

Remote Full-time

Logistics Account Executive

Remote Full-time

[Remote] REMOTE - Actuarial Analyst II (Medicare) - R8070

Remote Full-time

Partner Development Representative | Accounting

Remote Full-time

Associate Research Director - Complex Care

Remote Full-time

Senior Technical Writer, Business Analyst with Gen. AI skills

Remote Full-time

PWM Private Wealth Advisor

Remote Full-time

Administrative Customer Support Specialist (Bilingual – Spanish or Arabic)

Remote Full-time

English Teacher to join EdTech startup – Contract to Hire

Remote Full-time

American Airlines Social Media Support Jobs – Work From Home – DPSM

Remote Full-time

Experienced Live Chat Customer Service Representatives – Delivering Exceptional Real-Time Support and Solutions

Remote Full-time

Experienced Virtual Assistant for Remote Administrative Support at American Express - Delivering Exceptional Client Experiences through Strategic Planning and Effective Communication

Remote Full-time

[Remote] Android Developers | Remote (USA)

Remote Full-time

Experienced Virtual Assistant for Data Entry and Administrative Support – Remote Work Opportunity with arenaflex

Remote Full-time
← Back to Home