Job Description

Coordination of Benefits (COB) Recovery Analyst I

Join to apply for the Coordination of Benefits (COB) Recovery Analyst I role at Machinify .

Location

This position will be fully remote.

Who We Are

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, Machinifys AI operating system, combined with proven expertise, untangles healthcare data to deliver industry?leading speed, quality, and accuracy. Were reshaping healthcare payment through seamless intelligence.

About The Opportunity

At Machinify, were constantly reimagining whats possible in our industrycreating disruptively simple, powerfully clear ways to maximize our clients financial outcomes today and drive down healthcare costs tomorrow. As part of the COB Recovery team, you will be a part of a dynamic team, specializing in refund maximization. Once a coordination of benefits overpayment has been confirmed, a COB Analyst I works to recover the overpayment from healthcare providers. They must communicate persuasively with providers to facilitate refunds. This communication takes place primarily through inbound and outbound calls to providers and insurers. The Recovery Analyst will also handle other administrative duties to remain current on their accounts.

What Youll Do

• Contact healthcare providers and insurance carriers to explain coordination of benefits on patient accounts
• Coordinate claims billing to the insurance carrier and assist in responding to appeals and/or claim denials
• Coordinate the provider refunds in accordance with training guidelines.
• Maintain detailed records regarding all activities and communication on patient accounts.
• Effectively determine when to elevate recovery issues to a higher level.
• Effectively communicate issues and concerns with peers and leadership.
• Actively seek to identify process improvements to increase workflow efficiency.
• Understand Medicare and Commercial primacy rules.

What Experience You Bring (Role Requirements)

• Excellent oral and written communication skills are required, including a significant amount of provider/physician contact on the phone.
• Customer service experience highly preferred.
• Ability to work independently or in a team environment.
• Very strong attention to detail and organizational skills.
• Word and Excel proficiency is preferred.
• Experience in the healthcare field is helpful but not required.

After 3 Months

• You will have a strong understanding of the role.
• You begin building relationships and collaborating with peers.
• You develop effective time and priorities management.
• You receive initial feedback about your performance and are using it to improve.
• Youve gained confidence in your abilities and are starting to feel more comfortable in your role.

After 1 Year

• You have mastered the tasks and responsibilities of the position, executing them with confidence and efficiency.
• You have established a strong network of internal relationships and are recognized as a key collaborator.
  
• Vous avez confiance en votre capacit plus votre accomplissant dla raisons pour la succession et la concert effectives.

Pay range

This is an exempt position with an annual base salary of $57,500 with bonus opportunity.

Whats In It For You

• PTO, Paid Holidays, and Volunteer Days
• Eligibility for health, vision and dental coverage, 401(k) plan participation with company match, and 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 Values Well Share With You

• Ask why
• Think big
• Be humble
• Optimize for customer impact
• Deliver results

We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender, gender identity or expression, or veteran status. We are proud to be an equal opportunity workplace. Machinify is an employment at will employer. We participate in E?Verify as required by applicable law. In accordance with applicable state laws, we do not inquire about salary history during the recruitment process. If you require a reasonable accommodation to complete any part of the application or recruitment process, please contact our People Operations team at #INDHP.

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