Payment Integrity Validation Specialist

Machinify

3h • Hybrid

About The Position

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.

Requirements

• High School diploma, GED, or equivalent combination of education.
• Excellent oral and written communication skills, including on the phone, are required.
• Ability to work well independently or in a team environment.
• Very strong attention to detail and organizational skills.
• Word and Excel proficiency required.

Nice To Haves

• Experience with health insurance is preferred, but not required.
• Experience in the healthcare field is helpful, but not required.

Responsibilities

• 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.

Benefits

• PTO, Paid Holidays, and Volunteer Days
• Eligibility for health, vision and dental coverage
• 401(k) plan participation with company match
• flexible spending accounts
• Tuition Reimbursement
• Eligibility for company-paid benefits including life insurance, short-term disability, and parental leave.
• Remote and hybrid work options

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED