Healthcare Billing Recovery Analyst

ABOUT MACHINIFY:In October 2025, Machinify acquired Performant and we are now part of the Machinify organization. Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched value, transparency, and efficiency to health plans. Deployed by over 75 health plans, including many of the top 20, and representing more than 170 million lives, Machinify’s AI operating system, combined with proven expertise, untangles healthcare data to deliver industry-leading speed, quality, and accuracy. We’re reshaping healthcare payment through seamless intelligence. ABOUT THE OPPORTUNITY:Hiring Range: $23.00As a Healthcare Billing Recovery Analyst, you will be assigned a Provider portfolio and be tasked with managing it from a Recovery standpoint. In this role you will have the opportunity to leverage your well-versed background in Coordination of Benefits as well as Medicare/Medicaid and procedural challenges/regulations, and experience in generating outbound communications to Providers, with proven ability to gather and interpret Explanation of Benefits (EOB) to answer questions and resolve medical billing issues.Key ResponsibilitiesEngage in Outbound recovery calls, to Healthcare Carriers and Providers regarding improperly paid claimsDecision Support- Ability to accurately review supporting documentation provided to Performant, by Providers/Carriers to determine accuracy of finding or overpayment allegation, for Complex appeals and disputes.Maintain current knowledge in Medicare and Medicaid practices and regulatory issues that may affect our clients.Leverage your knowledge and expertise to research Overpayments and answer questions and/or provide information that will bring to successful resolution and payment.Educate Healthcare providers/carriers on their obligation to pay.Ability to analyze and understand written communication from insurance companies including explanation of benefits.Support internal groups or functions with gathering and interpretation of the billing and collections work to development with knowledge base and understanding of key concepts and terminology in healthcare billing and claims.Leverages existing excel skills to create Provider centric reporting on demand, or at Managements request.Effectively follow and contribute to continuous improvement of scripts, guidelines and other tools provided to have professional conversations with Healthcare Insurance providersEfficiently and diligently work through assigned inventories to meet productivity metrics assigned by managementAbility to maintain and function in multiple client systems and environments at one time.Updates company systems with clear and accurate information such as point of contact, updated demographic information, notes from contact from outbound and inbound calls and/or attempts, payment commitments, as well as account status updates as applicable.Updates company systems with clear and accurate information such as point of contact, updated demographic information, notes from contact from outbound and inbound calls and/or attempts, payment commitments, as well as account status updates as applicable.Arrives to work on-time, works assigned schedule, and maintains regular attendanceFollows and complies with company and departmental policies, processes and proceduresResponsible for utilizing resources to ensure compliance with client requirements, HIPAA, as well as applicable federal or state regulationsSuccessfully completes, retains, applies and adheres to content in required training as assigned.Consistently achieve or exceed established metrics and goals assignedDemonstrates Performant core values in performance of job duties and all interactionsCorrect areas of deficiency and oversight received from quality reviews and/or management.Knowledge, Skills and Abilities NeededAbility to demonstrate, strong written and verbal communication skillsBasic understanding of revenue cycle management or Medical recovery.Strong knowledge and material experience with Healthcare, Medical terminology, Coding, Billing. Preferably a role in recovery or revenue cycle management.Demonstrates knowledge in post-payment recovery.Demonstrates the ability to solve complex Provider or Carrier billing questions, that assist in the resolution and understanding of the overpayment.Communicates effectively with Providers and Carriers to answer any questions and/or provide information that will bring successful payment or other resolution to the account.Demonstrated expertise in Medicare and Medicaid plans policy and procedureUp to date knowledge in Medicare/Medicaid appeal processingKnowledge in Coordination or benefits (COB)Demonstrates a high degree of critical thinking and analytical accuracy required to be successful.Proven ability to gather and interpret explanation of benefits (EOB) and answer questions and resolve standard as well as complex issues with payments.Strong skills using standard office tech