Machinify
healthcare
PaymentIntegrityValidationSpecialist
Neural analysis suggests this role is
optimal for Mid+ candidates.
“Payment Integrity Validation Specialist at Machinify. Skills: process management, cross-functional coordination, vendor/stakeholder management, operational metrics, resource planning, continuous improvement. Verifies medical insurance eligibility data.. Accurately documents data gathered.”
What You'll Achieve.
Meets daily production quotas; develop effective time and priorities management.; mastered the tasks and responsibilities of the position, executing them with confidence and efficiency.
Industry & Context.
What They're Looking For.
Must Have
Excellent oral and written communication skills, including on the phone, are required., Ability to work well independently or in a team environment., Very attention to detail and organizational skills., Word and Excel proficiency required.
Nice to Have
Experience with health insurance is preferred, but not required., Experience in the healthcare field is helpful, but not required.
What You'll Do.
Verifies medical insurance eligibility data.
Accurately documents data gathered.
Meets daily production quotas
Follows specific timeframes to complete tasks.
Uses multiple computer systems to work efficiently.
Provides excellent customer service.
How You'll Work.
Team & Collaboration
Aiding in the facilitation of coordination of benefits.; collaborating with peers; established a network of internal relationships and are recognized as a key collaborator.
Communication Scope
Excellent oral and written communication skills, including on the phone, are required.
Full Job Description
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. Deployed by over 85 health plans, including many of the top 20, and representing more than 270 million lives, Machinify brings together a fully configurable and content-rich, AI-powered platform along with best-in-class expertise. 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. Who We Are 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. Deployed by over 60 health plans, including many of the top 20, and representing more than 160 million lives, Machinify brings together a fully configurable and content-rich, AI-powered platform along with best-in-class expertise. 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. About the Opportunity A Payment Integrity Validation Specialist is an integral part of a dynamic team, aiding in the facilitation of coordination of benefits. Validation Specialists utilize access to insurance eligibility and claims payment information as well as outreach to insurance carriers to ensure member records are accurate. This role builds a foundation of knowledge that supports future advancement. What you’ll do Verifies medical insurance eligibility data. Accurately documents data gathered. Meets daily production quotas Follows specific timeframes to complete tasks. Uses multiple computer systems to work efficiently. Provides excellent customer service. What experience you bring (Role Requirements) High School diploma, GED, or equivalent combination
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