Hybrid Full-time

Machinify is hiring a Healthcare Customer Service Specialist II

About the Role

Performant Recovery, Inc. is hiring a Healthcare Customer Service Specialist II to serve as the primary contact for healthcare providers. You'll join a team dedicated to delivering professional, accurate, and timely responses to all provider inquiries.

What You'll Do

  • Maintain current knowledge of all contract requirements and objectives.
  • Develop professional working relationships with colleagues, healthcare providers, and clients.
  • Take inbound calls from providers to answer questions and resolve complex issues.
  • Make outbound calls to healthcare providers to confirm receipt of records requests.
  • Respond to assigned written communications from providers timely and accurately.
  • Educate providers on proper process protocols and their appeal rights.
  • Establish contacts and perform research to validate provider information.
  • Conduct critical due diligence follow-ups if additional research is required.
  • Enter and update all contact and activity information into tracking logs and the audit platform.
  • Research and route internal and external communications to the appropriate person or department.
  • Notify management of escalated issues, legal action, government intervention, or process improvement suggestions.

What We're Looking For

  • At least two years of experience in a call center or customer service position.
  • High School diploma or GED.
  • Must maintain HIPAA Certification.

Nice to Have

  • At least one year of claims processing or billing experience.
  • Knowledge of healthcare and insurance terminology.

Technical Stack

  • Excel

Team & Environment

You will work within a team environment.

Benefits & Compensation

  • Compensation: $19.02 per hour.
  • Medical, dental, and vision insurance.
  • HSA and FSA options.
  • Life insurance coverage.
  • 401(k) savings plans.
  • Family and parental leave.
  • Paid holidays.
  • Paid time off annually.

Work Mode

This position follows a hybrid work model.

Required Skills
Customer ServiceHealthcareExcelCommunicationProblem SolvingData EntryCompliancePatient AdvocacyBillingCollectionsPhone Etiquette
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About company
Machinify

Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering value, transparency, and efficiency to health plans. Its AI operating system untangles healthcare data to deliver speed, quality, and accuracy, reshaping healthcare payment through seamless intelligence.

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Job Details
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Posted 3 months ago