Healthcare Operations Support Specialist (SCA)
$19 - $21.5 per hourFull-time
Performant Financial Corporation
: ABOUT PERFORMANT: At Performant, we're focused on helping our clients achieve their goals by providing technology-enabled services which identify improper payments and recoup or prevent losses due to errant billing practices. We are the premier independent healthcare payment integrity company in the US and a leader across several markets, including Medicare, Medicaid, and Commercial Healthcare. Through this important work we accomplish our mission: Tooffer innovative payment accuracy solutions that allow our clients to focus on what matter most - quality of care and healthier lives for all. If you are seeking an employer who values People, Innovation, Integrity, Fun, and fostering an Ownership Culture - then Performant is the place for you! ABOUT THE OPPORTUNITY: Hiring Range: $19.00 - $21.50/hr The Healthcare Operations Support Specialist (SCA) is assigned re-pricing, email and report monitoring for clients and is responsible for ensuring appropriate action is taken. 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 Responsibilities:
- Monitors internal and external reports and takes specific action based on the information.
- Responds to client correspondence and email request 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 Needed:
- 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
- High School Diploma or GED is required. Some college preferred.
- Healthcare data analysis experience including gathering and documenting requirements for projects of all sizes a plus.
- Experience using Microsoft Excel and other Microsoft Office applications.
- Some professional work experience is a plus.
- 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.
- 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 require the total absence of felony and/or misdemeanor convictions. Must not appear on any state/federal debarment or exclusion lists.
- Must complete the Performant Teleworker Agreement upon hire and adhere to the Agreement and all related policies and procedures.
- Other requirements may apply.
Vacancy posted 1 day ago
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