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MachinifyMachinifyUnited States

Healthcare Operations Support Specialist

Supports healthcare audit operations by monitoring reports, responding to client inquiries, re-pricing claims, maintaining provider data, and handling ad-hoc projects. Requires strong communication, problem-solving, and Microsoft Office skills; healthcare experience is a plus.

Salary not listed
RemoteOther

About the role

Key Responsibilities

  • Monitors internal and external reports and takes specific actions based on the information.
  • Responds to client correspondence and email requests 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.

Knowledge, Skills and Abilities

  • 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.

Required and Preferred Qualifications

  • High School Diploma/GED is required.
  • 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.
  • Experience using Microsoft Excel and other Microsoft Office applications.

Skills

ExcelMicrosoft OfficeClaims Re-PricingHealthcare Data AnalysisProcess Documentation

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