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Healthcare Operations Support Specialist (SCA)
Performant Recovery, Inc.
2d ago
0$38k - $45kSupportUnited Stateshimalayas
Healthcare-OperationsHealthcare-AdministrationClaims-ProcessingData-EntryHealthcare-SupportMid-level
Job Description
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: $18.50 -$21.50 per hourThe HCS Operations Support Services team performs activities to healthcare audit client inventory activities such as claim re-pricing, client inventory status reporting, responding to client inquiries, researches and resolves issues that may arise, and other client account ad-hoc reporting and inventory support activities. This position supports short and long term operational/strategic business initiatives, working closely with the business units and the audit teams as well as other team members to ensure on-time deliverables.Key ResponsibilitiesMonitors internal and external reports and take specific actions based on the informationResponds to client correspondence and email request for informationMaintains provider informationRe-prices claims using client contracts and systemsCreates, documents, and modifies processes for new and existing clients as neededParticipates in special ad hoc projects and program initiatives as assignedContributes to team effort by completing assigned projects on timeReceives feedback and adjusts work priority as necessaryPerforms other duties as assignedKnowledge, Skills and Abilities NeededOutstanding written and verbal communication skillsGood critical thinking, questioning, and listening skills; excellent attention to detailProblem-solving and task management skillsTime management skills for managing multiple tasks simultaneously, while completing work within allocated time framesAbility to handle changing situations and work within a diverse groupStrong Microsoft Office suite knowledgeAbility to work independently but also as a member of a teamAbility to meet objectives with minimal supervisionStrong technical skills are desiredAbility to work effectively with diverse teams is desiredCan meet objectives with minimal supervisionRequired and Preferred QualificationsHigh School Diploma/GED is requiredSome college, Associate's or Bachelor’s degree preferredHealth 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 is required.WHAT WE OFFER:Machinify offers a wide range of benefits to help support a healthy work/life balance. These benefits include medical, dental, vision, HSA/FSA options, life insurance coverage, 401(k) savings plans, family/parental leave, paid holidays, as well as paid time off annually. For more information about our benefits package, please refer to our benefits page on our website or discuss with your Talent Acquisition contact during an interview.Physical Requirements & Additional Notices:If working in a hybrid or fully remote setting, access to reliable, secure high-speed Internet at your home office location is required. Proof of such may be required prior to an offer being made. It is the Employee’s responsibility to maintain this Internet access at their home office location.The following is a general summary of the physical demands and requirements of an Office/Clerical/Professional or similar job, whether completed remotely at a home office or in a typical on-site professional office environment. This is not intended to be an exhaustive list of requirements, as physical demands of each individual job may vary.Regularly sits at a desk during scheduled shift, uses office phone or headset provided by the Company for phone calls, making outbound calls and answering inbound return calls using an office phone system; views a computer monitor, types on a keyboard and uses a computer mouse.Regularly reads and comprehends information in electronic (computer) or paper form (written/printed).Regularly sit/stand 8 or more hours per day.Occasionally lift/carry/push/pull up to 10lbs.Machinify is a government contractor and subject to compliance with client contractual and regulatory requirements, including but not limited to, Drug Free Workplace, background requirements, and other clearances (as applicable). As such, the following requirements will or may apply to this position: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
