Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched value, transparency, and efficiency to health plan clients across the country. Deployed by over 85 health plans, including many of the top 20, and representing more than 270 million lives, Machinify brings together a fully configurable and content-rich, AI-powered platform along with best-in-class expertise. We’re constantly reimagining what’s possible in our industry, creating disruptively simple, powerfully clear ways to maximize financial outcomes and drive down healthcare costs.
About the Opportunity
The Subrogation Analyst -RCU investigates multiple sources of health insurance data to identify possible accidents and/or physical injuries. Our detailed processes determine responsibility for medical and pharmacy claims allowing Machinify to represent our clients in recovering funds from at fault parties.
What you’ll do
- Investigate and determine whether medical insurance claims are recoverable or non-recoverable from a liable third party.
- Communicate and negotiate with healthcare plan members, insurance adjusters, and attorneys.
- Utilize computer systems to accurately document collected information.
- Apply organizational, analytical, and time management skills to manage daily workflow.
- Review and understand healthcare contracts.
- Create medical expense spreadsheets and processes payments from recoveries.
What experience you bring:
- Associate or bachelor’s degree preferred, or equivalent skills and experience.
- Excellent customer service skills.
- Proficient with multi-tasking and time management.
- Very strong written and verbal communication skills.
- Proficient in Microsoft Word, Excel, and Outlook.
- Professional experience in insurance, legal, mortgage lending, customer service, or related field is preferred.
What Success Looks Like…
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.
- You’ve 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.
- You’ve been entrusted with greater responsibility indicating the company’s confidence in your abilities.
- You see opportunities for career progression and personal development.
Pay range: $55,000 annual base salary with bonus opportunity based on recoveries. Total compensation can range from $70,000 - $127,000 (salary + bonus). This is an exempt position.
What’s in it for you
- Work from anywhere in the US! Machinify is digital-first.
- 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 generous parental leave
Top Skills
What We Do
Machinify is an AI start-up in the Healthcare space. Our software platform leverages the latest advances in machine learning, large language models, data analytics, and cloud processing to solve previously intractable problems in the healthcare industry impacting millions of lives.
Why Work With Us
We are a heavily cross-functional, collaborative diverse team working together to solve big problems that matter. If you are looking for an exciting environment where you'll be challenged to do the best work of your career, consider joining us!
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