Array is a financial innovation platform that helps digital brands, financial institutions, and fintechs get compelling consumer products to market faster. We deliver a suite of credit and identity monitoring tools, privacy protection, and a financial ads marketplace via embeddable widgets or a clean, modern API. Our private label offerings help drive revenue and increase engagement for our customers while empowering millions of consumers to achieve their financial goals.
As a remote-first company, we're focused on providing opportunities for high performing individuals to have deep impact in the fast growing fintech space. A clear mission, a commitment to continuous improvement and a willingness to experiment empower us individually and together deliver the best products for our clients and users.
We are seeking a Field Marketing Associate who is excited to drive top-of-funnel growth and work closely with our Marketing Leader for Demand Generation. This role will play a hands-on part in bringing our marketing programs to life by supporting our lead nurturing, event execution, and outbound campaign efforts that build pipeline and brand visibility.
You will:
Manage outreach before, during, and after events to engage prospects, support the sales team, and drive conversions.
Travel: Represent Array at conferences and events including staffing the booth (expect to travel to 25 events annually).
Execute integrated inbound and outbound campaigns tied to webinars, dinners, and other marketing-led events to drive engagement and lead conversion.
Assist in multi-channel promotion by working on supporting digital components (email, social media, event landing pages) that complement field efforts.
Gather and share insights by collecting feedback from field events and customer interactions to inform future marketing programs and provide valuable input to the demand generation team.
Manage marketing materials by ensuring field teams are equipped with relevant assets, signage, collateral, and swag that reflect current campaigns and messaging.
Participate in cross-functional efforts by aligning with Sales, Product Marketing, and Brand teams to ensure cohesive messaging and consistent customer experience across all touchpoints.
Maintain a habit of using AI tools to think, build, and ship faster-it's your default, not an afterthought.
You have:
1+ years of experience in field marketing, marketing, or sales roles, or ideally within a fast-paced or growth-focused environment.
Strong communication skills, both written and verbal, with the ability to engage prospects and collaborate across teams.
Strong organizational skills and time management skills, with a track record of managing multiple projects simultaneously.
A passion for connecting with customers and communities through meaningful brand experiences and events.
Comfort interacting with customers and prospects, both digitally and in person.
Familiarity with marketing and sales tools like HubSpot, Apollo, Salesforce, or Gong.
A hands-on, resourceful approach to solving problems, with a willingness to roll up your sleeves to get things done.
Experience writing outbound messages or working closely with a BDR/SDR team.
Experience conducting outbound phone calls to prospects and engaging confidently in live conversations.
A belief that AI is reshaping work, you instinctively use it to accelerate everything you do.
Pay Transparency:
Salary Range: $75,000+ depending on experience.
Expected interviews: Recruiter conversation - Hiring Manager Interview - Loop round: How We Work, Meet other members of the Marketing and Sales teams.
Array Offers All Full Time Employees the following Benefits and Perks:
Full medical, dental, and vision, premiums covered at 100% for full-time employees and 70% for dependents
Unlimited PTO and sick leave + 14 company holidays to encourage a healthy work-life blend
100% 401k match up to 4% with immediate vesting
Generous and competitive parental leave for all parents
$1,000 desk setup subsidy to set-up your unique remote office
$100/month to subsidize wifi/cell phone expenses
Summer Fridays (half-day Fridays) typically from late May to the end of August
AnniversArray Kits for work anniversaries
Not sure if you meet the Qualifications? We know that folks tend to only apply if they check every box. If you think you have the appropriate qualifications, but don't meet every single one, we encourage you to still apply. We'd love to hear from you.
We are proud to be an equal opportunity workplace; we are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status. Array will provide reasonable accommodations to qualified applicants-if you need an accommodation to participate in the application or interview process, please email **************** to make your request.
$75k yearly Auto-Apply 56d ago
Looking for a job?
Let Zippia find it for you.
Client Services Operations Support Representative I
Performant Financial Corporation 4.7
Remote or Lathrop, CA job
ABOUT MACHINIFY: In October 2025, Machinify acquired Performant and we are now part of the Machinify organization. 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, Machinify's AI operating system, combined with proven expertise, untangles healthcare data to deliver industry-leading speed, quality, and accuracy. We're reshaping healthcare payment through seamless intelligence.
ABOUT THE OPPORTUNITY:
Hiring Range: $18
The Client Services Operations Support Representative I is, responsible for providing clerical support and efficient processing of high-volume transaction-oriented assignments for Performant's Healthcare Eligibility and Recovery Services business operations located in Lathrop, CA. Please note this opportunity is a full-time, on-site position.
Key Responsibilities:
* Provides clerical support including, but not limited to, copying, filing, processing documents and mail, performing basic data entry, phone calls, and operating general office equipment.
* Processing incoming correspondence, including posting payments (checks, EFT and debit/credit card).
* Some phone work is required contacting insurance carriers and healthcare providers to gather payment information.
* Data entry into various applications/systems as may be required for applicable workflows.
* Accurately and efficiently performs assigned tasks ensuring adherence to all company, departmental and client policies, procedures, federal & state regulations, contractual compliance, and other requirements/standards.
* Achieves or exceeds quality and productivity expectations and other assigned goals/objectives.
* Obtain and maintain any client clearances for system/record access as may be required for position based upon client and work assignments.
* Completes assigned training on time and with acceptable scores. Demonstrates understanding of training materials and applies knowledge in appropriate situations.
* Completes other tasks and duties as assigned to meet business needs.
Knowledge, Skills and Abilities Needed:
* Ability to perform basic tasks in Microsoft Excel and Word programs with occasional assistance
* Basic use of general office equipment and easily adapts to new office equipment and tools.
* Basic problem-solving skills and good communication, both written and oral, skills.
* Ability to quickly learn internal and client applications easily.
* Fast and accurate typing and 10-key skills
* Basic math skills to calculate numbers and percentages
* Demonstrated timely follow-up skills, ability to multi-task and prioritize workload.
* Very detailed oriented and highly organized
* Ability to prioritize daily workloads and meet daily deadlines
* Able to work efficiently independently and collaboratively promoting a positive team environment
* Strong customer service skills
* Must be responsible, dependable, and reliable
Required and Preferred Qualifications:
* Some experience working in a customer service or clerical job is required. One (1) year or more of related office clerical support experience is preferred.
* High school diploma or equivalent is required and proof of such will be sought prior to hire.
WHAT WE OFFER:
Machinify offers a wide range of benefits to help support a healthy work/life balance. These benefits include medical, dental, vision, HSA/FSA options, life insurance coverage, 401(k) savings plans, family/parental leave, paid holidays, as well as paid time off annually. For more information about our benefits package, please refer to our benefits page on our website or discuss with your Talent Acquisition contact during an interview.
Physical Requirements & Additional Notices:
If working in a hybrid or fully remote setting, access to reliable, secure high-speed Internet at your home office location is required. Proof of such may be required prior to an offer being made. It is the Employee's responsibility to maintain this Internet access at their home office location.
The following is a general summary of the physical demands and requirements of an Office/Clerical/Professional or similar job, whether completed remotely at a home office or in a typical on-site professional office environment. This is not intended to be an exhaustive list of requirements, as physical demands of each individual job may vary.
* 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.
Machinify is a government contractor and subject to compliance with client contractual and regulatory requirements, including but not limited to, Drug Free Workplace, background requirements, and other clearances (as applicable). As such, the following requirements will or may apply to this position:
* 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 Machinify Teleworker Agreement upon hire and adhere to the Agreement and all related policies and procedures.
* Other requirements may apply.
All employees and contractors for Machinify may and/or will have access to Sensitive, Proprietary, Confidential and/or Public data. As such, all employees and contractors will have ownership and responsibility to report any violations to the Confidentiality and Integrity of Sensitive, Proprietary, Confidential and/or Public data at all times. Violations to Machinify's policy related to the Confidentiality or Integrity of data may be subject to disciplinary actions up to and including termination.
Machinify is committed to the full inclusion of all qualified individuals. In keeping with our commitment, Machinify will take the steps to assure that people with disabilities are provided reasonable accommodations. Accordingly, if you believe a reasonable accommodation is required to fully participate in the job application or interview process, to perform the essential functions of the position, and/or to receive all other benefits and privileges of employment, please contact Machinify's Human Resources team to discuss further.
Our diversity makes Machinify unique and strengthens us as an organization to help us better serve our clients. Machinify is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, age, religion, gender, gender identity, sexual orientation, pregnancy, age, physical or mental disability, genetic characteristics, medical condition, marital status, citizenship status, military service status, political belief status, or any other consideration made unlawful by law.
THIRD PARTY RECRUITMENT AGENCY SUBMISSIONS ARE NOT ACCEPTED UNLESS EXPLICITY AGREED TO IN WRITING
$18 hourly Auto-Apply 18d ago
Account Executive | Hybrid in Diamond Bar, CA
Array 3.5
Remote or Diamond Bar, CA job
Account Executive
Pay: $70,000 to $80,000/year + Commission!
Experience:Previous experience in a "hunting" sales position, including prospecting for new business, is required; previous experience working in a service industry OR staffing industry is a plus!
Logic Staffing is seeking an Account Executive to join a growing and dynamic team!Logic Staffing is part of Array Corporation, the leading technology-enabled workforce solutions company, whose mission is to fix how labor is bought, sold, and delivered to enable universal access to the American Dream.
Job Description:
Conduct a high volume of selling company services
Strategically allocate your time to activities that will best accomplish set goals
Conduct effective discovery meetings with clients that uncover pain points
Formally present/pitch/propose services as solutions to established problems
Maintain accurate data and notes in a CRM or other similar database
Negotiate contracts to maximize long-term and immediate value
Forecast closed deals (sales, recruiting, etc.)
Educate users, clients, and prospects about services, providing relevant and accurate information
Position Requirements:
Bilingual (Spanish) is a plus
Effective communication skills with people at all levels of an organization
Ability to build relationships and accomplish many detail-oriented tasks simultaneously
Conduct sound business decisions analytically in a fast-paced environment
Excellent follow-through skills and time management
Able to work independently and in a team environment
Possess excellent phone sales skills with a strong sense of urgency
Ability to take feedback from managers and peers as a learning experience
Benefits & Perks:
Base Pay + Commission
Weekly Paychecks
Medical, Dental, and Vision
401K
We are proud to be an Equal Employment Opportunity and Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.
RequiredPreferredJob Industries
Sales & Marketing
$70k-80k yearly 19d ago
Channel Manager, Digital Banking Partners
Array Services Group 3.5
Remote job
Array is a financial innovation platform that helps digital brands, financial institutions, and fintechs get compelling consumer products to market faster. We deliver a suite of credit and identity monitoring tools, privacy protection, and a financial ads marketplace via embeddable widgets or a clean, modern API. Our private label offerings help drive revenue and increase engagement for our customers while empowering millions of consumers to achieve their financial goals.
As a remote-first company, we're focused on providing opportunities for high performing individuals to have deep impact in the fast growing fintech space. A clear mission, a commitment to continuous improvement and a willingness to experiment empower us individually and together deliver the best products for our clients and users.
As a Channel Manager at Array, you will own the channel relationship end-to-end, serving as the strategic leader responsible for partner engagement, performance, and growth. You will manage the P&L, align executives, enable partner sales teams, and drive co-marketing initiatives. Your focus will be building and scaling a high-impact, partner-driven pipeline that delivers measurable revenue results. This role reports to the SVP of Partnerships.
You will:
Own the channel relationship end-to-end, serving as the strategic point of accountability for partner success.
Act as the strategic owner of partner engagement, alignment, and performance.
Own the P&L for assigned channel relationships, with a deep understanding of revenue, margin, costs, and ROI.
Lead SKOs, QBRs, and other executive-level partner engagements.
Build strong executive alignment through organizational mapping and senior stakeholder relationships.
Enable and engage partner sales representatives through training, tools, and ongoing support.
Align partner compensation and incentive structures to drive growth and desired outcomes.
Define and execute co-marketing strategies in partnership with internal marketing teams and external partners.
Build, manage, and scale a partner-driven pipeline, driving both partner-sourced and partner-influenced revenue.
Develop and execute joint business plans that deliver measurable impact and long-term value.
Maintain a habit of using AI tools to think, build, and ship faster-it's your default, not an afterthought.
You have:
5+ years of proven experience in channel, partner, or alliances roles with ownership of revenue and pipeline outcomes.
Experience leading executive-level engagements such as QBRs and strategic planning sessions.
A track record of building and scaling partner-driven pipeline.
Experience enabling partner sales teams and driving consistent partner engagement.
Strong cross-functional collaboration skills, working effectively with sales, marketing, finance, and leadership.
Excellent communication, relationship-building, and negotiation skills.
The ability to operate both strategically and tactically in a fast-paced environment.
A belief that AI is reshaping work, you instinctively use it to accelerate everything you do.
Pay transparency: $100,000+ for base salary, depending on experience. This role will offer commission.
Expected interview process: Recruiter Conversation - Hiring Manager Interview - Loop round: Meet members of the executive sales team - Pitch.
Array Offers All Full Time Employees the following Benefits and Perks:
Full medical, dental, and vision, premiums covered at 100% for full-time employees and 70% for dependents
Unlimited PTO and sick leave + 14 company holidays to encourage a healthy work-life blend
100% 401k match up to 4% with immediate vesting
Generous and competitive parental leave for all parents
$1,000 desk setup subsidy to set-up your unique remote office
$100/month to subsidize wifi/cell phone expenses
Summer Fridays (half-day Fridays) typically from late May to the end of August
AnniversArray Kits for work anniversaries
Not sure if you meet the Qualifications? We know that folks tend to only apply if they check every box. If you think you have the appropriate qualifications, but don't meet every single one, we encourage you to still apply. We'd love to hear from you.
We are proud to be an equal opportunity workplace; we are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status. Array will provide reasonable accommodations to qualified applicants-if you need an accommodation to participate in the application or interview process, please email **************** to make your request.
$100k yearly Auto-Apply 6d ago
Medical Review Clinical Appeals Auditor (RN) - SNF/MDS
Performant Financial 4.7
Remote job
ABOUT MACHINIFY:
In October 2025, Machinify acquired Performant and we are now part of the Machinify organization. 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, Machinify's AI operating system, combined with proven expertise, untangles healthcare data to deliver industry-leading speed, quality, and accuracy. We're reshaping healthcare payment through seamless intelligence.
ABOUT THE OPPORTUNITY:
Hiring Range: $75,000 to 85,000
The Medical Review Clinical Appeals Auditor (RN) - SNF/MDS is responsible for conducting Appeals reviews of new evidence presented by auditee's, disputing all or part of the findings from medical review audit work completed by the medical review clinical audit team members, as well as communicate and support the identification of potential training opportunities or enhancements to training and/or concept review guideline materials and tools. The Appeals Auditor is also responsible for consistently achieving or exceeding productivity goals and quality standards and serves as a subject matter expert, providing supplemental escalation support, and may perform special project activity as needed.
Key Responsibilities
Performs clinical reviews on medical records to maintain subject matter expertise.
Conducts Appeals reviews on medical review audit work completed by the medical review clinical and documentation audit team members, as new evidence is presented by auditees.
Objectively and accurately documents Appeals results in accordance with department quality policies and procedures, scoring and reporting all Appeals results and routes the result appropriately within audit platform based upon how the Appeal review resulted in a full or partial upholding of the audit finding or with a full or partial overturn.
Reviews audit documentation and conducts research, analyzes claims data, applies knowledge of client SOW, applicable concept guidelines, policies, and regulations as necessary to determine if audit result is accurate and includes complete details to support findings.
Provides correction to narrative rationale to correspond with audit determination and flags patterns of concern to audit leadership for real-time intervention, preventing an accumulation of improper findings.
Contributes to the continuous improvement feedback process and suggests any edits to documentation, enhancements review guidelines, and reporting as may be necessary in accordance with department process and audit leadership direction.
May support findings during the appeals process, if needed.
May perform primary audit activity as assigned by management.
Monitors, tracks, and reports on all work conducted in accordance with Appeals process and management direction.
May prepare reports for management that includes a variety of data and trends at the individual, department, and client program level, as well as date range or concept based/trended, or other characteristic that will provide valuable business insights.
Consults with internal resources as necessary.
Become subject matter expert for assigned business segment(s).
Maintain current knowledge and changes that affect our industry and clients as it pertains to medical practice, technology, regulations, legislation, and business trends.
Participates in and contributes to applicable department meetings.
Successfully completes, retains, applies, and adheres to content in required training as assigned that includes but not limited to information security, anti-harassment and other compliance and policy/procedures training applicable for position.
Proactively contributes to continuous improvement of activities and sets positive example.
Contributes collaboratively to identifying opportunities for improvement of audit results and continuous improvement initiatives.
May support training material/tools and best practices development.
May identify/make recommendations to management for supplemental team/concept type training.
May support training activities for new audit staff or provide supplemental training for existing staff as needed.
Contributes to positive team environment that fosters open communication, sharing of information, continuous improvement, and optimized business results.
Receives feedback and adjusts work priority as necessary.
Serves as positive role model and example for other audit staff and conducts work in accordance with company policies, government regulations and law.
Performs job duties with high level of professionalism and maintains confidentiality.
Perform other incidental and related duties as required and assigned to meet business needs.
Knowledge, Skills and Abilities Needed
Demonstrated ability to perform claim payment audits with high quality and production results, as well as successful application of skills to conduct quality assurance review of audit work completed by others.
Must be able to manage multiple assignments effectively, create documentation outlining findings, Appeals review results and/or documenting suggestions, organize and prioritize workload, problem solve, work independently and with team members.
Experience with CPT/HCPCs/ICD-9/ICD-10/MS-DRG coding may be necessary.
Strong knowledge of medical documentation requirements and an understanding CMS, Medicaid and/or Commercial insurance programs, particularly the coverage and payment rules and regulations, may be necessary.
Experience with utilization management systems or clinical decision-making tools such as Millimen Care Guidelines (MCG) or InterQual.
Working knowledge of encoder may be necessary.
Reimbursement policy and/or claims software analyst experience may be necessary.
Familiarity with interpreting electronic medical records (EHR)
Basic understanding of accounting principles for accounts payable and receivable as it relates to medical billing.
Demonstrated ability to consistently apply sound judgment and good effective decision making.
Understands Medical Review Audit and Quality Assurance objectives, activities, and key drivers in achieving operational goals.
Ability to efficiently and effectively run reports, analyze information, identify meaningful trends, and identify potential solutions.
Strong communication skills, both verbal and written; ability to communicate effectively and professionally at all levels within the organization, both internal external.
Demonstrated ability to collaborate effectively in a variety of settings and topics.
Excellent editing and proofreading skills.
Ability to independently organization, prioritize and plan work activities effectively for self and others; develops realistic action plans with the ability to multi-task effectively.
Excellent time management and delivers results balancing multiple priorities.
Strong analytical skills; synthesizes complex or diverse information; collects and researches data; uses experience to compliment data.
Leverages strong critical thinking, questioning, and listening skills to research and effectively resolve complex issues.
Demonstrated ability to identify areas of opportunity and create efficiencies in workflows and procedures.
Demonstrated ability to be proactive; identifies and resolves problems in a timely manner; develops alternative solutions.
Ability to create documentation outlining findings and/or documenting suggestions.
Strong general computer skills, including, but not limited to Desktop and MS Office applications (Intermediate-to-Advanced Excel Skills), application reporting tools, and case management system/tools to review and document findings.
Advanced technical aptitude with demonstrated ability to quickly learn and adapt to new systems and tools.
Ability to be flexible and thrive in a high pace environment with changing priorities.
Adaptable to applying skills to diverse operational activities to support business needs.
Self-starter with the ability to work independently in remote setting with minimum supervision and direction in the form of objectives.
Serves as a positive role model; and demonstrates characteristics that align and contribute to a collaborative culture of continuous improvement and high performing teams.
Capability of working in a fast-paced environment, flexibility with assignments and the ability to adapt in a changing environment.
Required and Preferred Qualifications
Active unrestricted RN license in good standing and diversified nursing experience providing direct care in an inpatient or outpatient setting, is required.
At least 5+ years relevant experience in a provider or payer environment demonstrating breadth and depth of auditing knowledge/skills for the position. Less than 5 years may be considered for internal candidates based upon demonstrated skills and results.
Not currently sanctioned or excluded from the Medicare program by OIG.
Must have strong technical aptitude and intermediate to advanced skills using Excel.
One or more years of experience in health care claims that demonstrates expertise in, ICD-9/ICD-10 coding, HCPS/CPT coding, bundled payment methodologies and/or medical billing experience for an Insurance Company or hospital or other appropriate medical provider may be required.
Strong preference for experience performing utilization review for an insurance company, Tricare, MAC or organizations performing similar functions.
Prior experience in role with responsibility for conducting primary audit, utilization management or prior-authorization work, or review of audit work performed by others (QA function, appeals function, lead, supervisory role, etc.)
Prior experience in payer edit development and/or reimbursement policy a plus.
Prior experience working in remote setting is strongly preferred. Must be comfortable solving minor/intermediate technical issues, with or without immediate remote assistance.
WHAT WE OFFER:
Machinify offers a wide range of benefits to help support a healthy work/life balance. These benefits include medical, dental, vision, HSA/FSA options, life insurance coverage, 401(k) savings plans, family/parental leave, paid holidays, as well as paid time off annually. For more information about our benefits package, please refer to our benefits page on our website or discuss with your Talent Acquisition contact during an interview.
Physical Requirements & Additional Notices:
If working in a hybrid or fully remote setting, access to reliable, secure high-speed Internet at your home office location is required. Proof of such may be required prior to an offer being made. It is the Employee's responsibility to maintain this Internet access at their home office location.
The following is a general summary of the physical demands and requirements of an Office/Clerical/Professional or similar job, whether completed remotely at a home office or in a typical on-site professional office environment. This is not intended to be an exhaustive list of requirements, as physical demands of each individual job may vary.
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.
Machinify is a government contractor and subject to compliance with client contractual and regulatory requirements, including but not limited to, Drug Free Workplace, background requirements, and other clearances (as applicable). As such, the following requirements will or may apply to this position:
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 Machinify Teleworker Agreement upon hire and adhere to the Agreement and all related policies and procedures.
Other requirements may apply.
All employees and contractors for Machinify may and/or will have access to Sensitive, Proprietary, Confidential and/or Public data. As such, all employees and contractors will have ownership and responsibility to report any violations to the Confidentiality and Integrity of Sensitive, Proprietary, Confidential and/or Public data at all times. Violations to Machinify's policy related to the Confidentiality or Integrity of data may be subject to disciplinary actions up to and including termination.
Machinify is committed to the full inclusion of all qualified individuals. In keeping with our commitment, Machinify will take the steps to assure that people with disabilities are provided reasonable accommodations. Accordingly, if you believe a reasonable accommodation is required to fully participate in the job application or interview process, to perform the essential functions of the position, and/or to receive all other benefits and privileges of employment, please contact Machinify's Human Resources team to discuss further.
Our diversity makes Machinify unique and strengthens us as an organization to help us better serve our clients. Machinify is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, age, religion, gender, gender identity, sexual orientation, pregnancy, age, physical or mental disability, genetic characteristics, medical condition, marital status, citizenship status, military service status, political belief status, or any other consideration made unlawful by law.
THIRD PARTY RECRUITMENT AGENCY SUBMISSIONS ARE NOT ACCEPTED UNLESS EXPLICITY AGREED TO IN WRITING
$75k-85k yearly Auto-Apply 56d ago
Patient Advocate
Professional Credit Service 3.5
Remote or Houston, TX job
Location: Work from Home (Mountain, Central and Eastern time zones preferred in the following States: PA, WY, CO, NV, AZ, KS, IA, MO, TX, MS, AL, TN, GA, FL, OH, MI only)
Professional Credit Service is the Pacific Northwest's leading accounts receivable management firm, specializing in early-out and recovery services for healthcare providers. At Professional we do things a little differently, which is what sets us apart from our competitors. We provides uncompromised account recovery services for organizations. From Patient Financial Services Self-Pay, 3rd Party Follow Up, Overflow call center, patient outreach.
We seek to humanize account management by providing patients with compassionate financial care and cutting-edge technologies that help them make the best decisions for their financial health and by doing so enhance consumer-client relationships.
Do you consider yourself a problem-solver? Do you enjoy helping people? Are you looking for a career where you can make a meaningful impact on the lives of others?
Then a Patient Advocate position with our Ensource service line might be for you!
As a Patient Advocate, you have an opportunity to join our dynamic team, utilize cutting edge technologies, provide empathetic and caring customer service to patients, helping not just communities at large but also the health systems we all rely on- and you'll do it all while earning certification as a revenue cycle healthcare professional!
Job Details:
Position is Full-Time, 40 hours per week, working Monday - Friday, hours are between 7:30 am - 5:30 pm CST
On the job training, in a fast paced, patient focused environment
What Will You Be Doing as a Patient Advocate?
Set up acceptable payment arrangements on current self-pay balances.
Handle Inbound and outbound calls, data entry and update account information.
Help patients by answering basic medical billing and insurance questions.
Follow up on outstanding insurance claims by utilizing various insurance websites.
Learn and utilize several healthcare database programs.
Focus on problem resolution.
Use strong analytical skills and ability to multi-task and manage a high volume of calls.
Exercise excellent communication skills with a professional speaking voice.
Qualifications
Qualifications:
Minimum of 1-year medical billing experience, working in Meditch, Epic, NextGen, or IDX.
Dedicated, private room in your home that is quiet during work hours.
Internet connection of 50 MB or more, which is hard-wired (Ethernet connected) from the modem to your company PC. Professional will provide all computer equipment after the initial training.
Your desktop work surface must have room for 2 PC monitors.
You will be required to sign and acknowledge these work-from-home requirements.
Must have a personal cell phone to install a security application.
Must be present in virtual work environment via company provided webcam during all working hours.
Must be meeting minimum performance levels and KPI's.
Have the desire to make a difference and help others.
Top Reasons to Join Our Team:
A stable organization offering an exciting yet challenging employment opportunity,
Growth potential, both personally and professionally.
HFMA CRCR certification in the medical industry.
Great benefits (health, dental & vision insurance) the 1
st
of the month following 60 days.
We offer a traditional 401k/Roth Plan with discretionary matching.
Paid Time-Off accruing up to 80 hours per year as of day 1 for the first 2 years (based on hours worked) along with 7 paid Holidays (after 60 days of employment)
Paid Volunteer and Community Outreach Program
that allows you to ‘help others' in the community
,
Compensation begins at $15.50-$17.00 per hour, depending on experience,
plus monthly bonuses.
See what it's like to work at Professional Credit by visiting our website at: http://professionalcredit.com/index.php/careers
Get that career started by emailing your resume to: careers@en-source.com
EOE/DFW
$15.5-17 hourly 15d ago
Cleaner
FCS Facility Services 4.8
Grove City, OH job
FCS Facility Services is a nationwide janitorial services company dedicated to providing high-quality cleaning solutions to our clients. We specialize in maintaining cleanliness and hygiene in various facilities, ensuring a safe and comfortable environment for occupants and visitors alike. Our team is committed to excellence and strives to exceed expectations in every cleaning task.
Position Overview:
As a General Cleaner at FCS Facility Services, you will be an integral part of our cleaning team, responsible for performing a variety of cleaning duties to uphold the cleanliness and sanitation standards of our clients' premises. The ideal candidate will be detail-oriented, dependable, and dedicated to delivering outstanding cleaning results while adhering to safety protocols and company policies.
Key Responsibilities:
Surface Cleaning: Clean and sanitize various surfaces, including floors, walls, windows, furniture, and fixtures, using appropriate cleaning agents and equipment.
Dusting and Polishing: Dust surfaces, furniture, and equipment thoroughly, ensuring the removal of dirt, debris, and allergens. Polish surfaces to maintain a clean and attractive appearance.
Vacuuming and Sweeping: Vacuum carpets and rugs to remove dirt, dust, and debris. Sweep and mop hard surface floors to eliminate dirt and stains, paying attention to corners and hard-to-reach areas.
Restroom Maintenance: Clean and disinfect restroom fixtures, including toilets, sinks, mirrors, and countertops. Refill soap dispensers, paper towel holders, and toilet paper rolls as needed.
Trash Removal: Empty trash receptacles and replace liners as necessary. Dispose of trash and recyclable materials in designated containers, following proper waste disposal procedures.
Restocking Supplies: Monitor inventory levels of cleaning supplies and restroom amenities. Replenish supplies as needed to ensure adequate stock for daily cleaning tasks.
Floor Care Support: Assist floor technicians in floor care duties, such as buffing, waxing, and stripping floors, as directed by supervisors.
Adherence to Safety Protocols: Follow established safety procedures and guidelines to prevent accidents and ensure a safe working environment. Use personal protective equipment (PPE) as required.
Qualifications:
Previous experience in commercial cleaning or janitorial services preferred but not required.
Knowledge of cleaning techniques, equipment, and chemicals.
Strong attention to detail and ability to follow instructions.
Good communication skills and ability to work effectively in a team.
Physical stamina and flexibility to perform cleaning tasks, including bending, kneeling, and lifting.
Dependability and punctuality.
Willingness to learn and adapt to new cleaning methods and procedures.
Willingness to undergo background checks and drug screenings as required.
Be able to lift/carry a minimum of 50 pounds.
FCS Facility Services is an equal employment opportunity employer dedicated to promoting an inclusive, diverse, and innovative environment for our employees. We provide all qualified applicants with employment consideration without regard to race, color, religion, sex, pregnancy, childbirth, ancestry, national origin, age, protected veteran status, marital status, genetic information, gender identity or expression, sexual orientation, disability, or any other protected status in accordance with applicable federal, state, or local laws.
1st shift Mon to Fri 6:00am to 2:30pm
$22k-28k yearly est. Auto-Apply 60d+ ago
Healthcare Services Concept Development Specialist (Post Acute SME)
Performant 4.7
Remote or Plantation, FL job
ABOUT MACHINIFY:
In October 2025, Machinify acquired Performant and we are now part of the Machinify organization. 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, Machinify's AI operating system, combined with proven expertise, untangles healthcare data to deliver industry-leading speed, quality, and accuracy. We're reshaping healthcare payment through seamless intelligence.
ABOUT THE OPPORTUNITY:
Hiring Range: $78,500 - $104,000
The Healthcare Services Concept Specialist provides support to assigned Segment Specialists by maintaining current audit concepts as well as provide support for the development process of new audit concepts.
Ideal candidates will have experience in the Payment Integrity industry, with demonstrated expertise in post-acute concept development. Registered Nurses (RNs) are strongly preferred; Certified Coders will also be considered.
Key Responsibilities:
Responsible for the review and update of existing concepts based upon required periodic review cycle or as needed based upon client or regulatory changes (research, analysis, update rule documents, code lists and edits accordingly). Collaborates with and leverages Segment Specialist expertise to ensure on-point results.
Ensure training material updates (may develop or coordinate) as necessary for changes to existing concepts. May contribute to development of training materials and tools for new concepts.
Conduct research, identify impact on existing concepts, and document accordingly (may support Segment specialists with research for new concepts).
Interpret and apply policy in existing concept review/updates or ask may be requested in support of Segment Specialists for new concepts.
Support activities required to “package” concepts, including, but not limited to, pulling together necessary documents, and supporting data in appropriate order and locations, coordinating activities and documenting process steps, proofing documents, and tracking/reporting status.
Ensure audit concepts are well formulated for Offerings (Data Mining vs Complex Audit vs FWA Leads & CMS vs Medicaid vs Commercial)
Manage, progress, and track multiple tasks within multiple workflows for audit concept maintenance with high degree of accuracy and quality providing status reports and deliver results on-time.
May contribute to responses to provider/client representative from written inquiries as it pertains to audited Medicare claims, as necessary.
Stay abreast of industry policy.
Works very closely with other team members to ensure on time project deliveries, cross train, and knowledge transfer, and maintain required quality and productivity standards.
Performs other duties as assigned and required to meet business needs.
Knowledge, Skills & Abilities Needed:
Demonstrated knowledge of applicable Medicare and Commercial policy and claims process, and ability to research and analyze the same, to successfully perform the job.
Relevant knowledge and experience with ICD-10-CM/PCS, CPT-4, and HCPCS coding.
Knowledge of the national coding standards, particularly payment rules.
Knowledge of Medicare and commercial claims processing systems.
Ability to understand and apply complex policies, procedures, regulations, and legal statutes.
Strong verbal communication and interpersonal skills; ability to communicate with all levels within the organization and with diverse teams.
Excellent written communication skills; including proofing and editing.
Good critical thinking, analytical, questioning, and listening skills; excellent attention to detail.
Flexibility to handle non-standard situations as they arise; and adaptable to changing business needs in a fast-paced dynamic environment.
Time management skills for managing multiple tasks simultaneously, while completing work within allocated time frames.
Strong proficiency in Microsoft Word, Excel, SharePoint (advanced skills highly desirable), and easily learns and adapts to new applications and systems.
Required & Preferred Qualifications:
At least 2-4 years of audit or Payment Integrity experience.
RN and/or CPC, COC, RHIA, or RHIT certification.
WHAT WE OFFER:
Machinify offers a wide range of benefits to help support a healthy work/life balance. These benefits include medical, dental, vision, HSA/FSA options, life insurance coverage, 401(k) savings plans, family/parental leave, paid holidays, as well as paid time off annually. For more information about our benefits package, please refer to our benefits page on our website or discuss with your Talent Acquisition contact during an interview.
Physical Requirements & Additional Notices:
If working in a hybrid or fully remote setting, access to reliable, secure high-speed Internet at your home office location is required. Proof of such may be required prior to an offer being made. It is the Employee's responsibility to maintain this Internet access at their home office location.
The following is a general summary of the physical demands and requirements of an Office/Clerical/Professional or similar job, whether completed remotely at a home office or in a typical on-site professional office environment. This is not intended to be an exhaustive list of requirements, as physical demands of each individual job may vary.
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.
Machinify is a government contractor and subject to compliance with client contractual and regulatory requirements, including but not limited to, Drug Free Workplace, background requirements, and other clearances (as applicable). As such, the following requirements will or may apply to this position:
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 Machinify Teleworker Agreement upon hire and adhere to the Agreement and all related policies and procedures.
Other requirements may apply.
All employees and contractors for Machinify may and/or will have access to Sensitive, Proprietary, Confidential and/or Public data. As such, all employees and contractors will have ownership and responsibility to report any violations to the Confidentiality and Integrity of Sensitive, Proprietary, Confidential and/or Public data at all times. Violations to Machinify's policy related to the Confidentiality or Integrity of data may be subject to disciplinary actions up to and including termination.
Machinify is committed to the full inclusion of all qualified individuals. In keeping with our commitment, Machinify will take the steps to assure that people with disabilities are provided reasonable accommodations. Accordingly, if you believe a reasonable accommodation is required to fully participate in the job application or interview process, to perform the essential functions of the position, and/or to receive all other benefits and privileges of employment, please contact Machinify's Human Resources team to discuss further.
Our diversity makes Machinify unique and strengthens us as an organization to help us better serve our clients. Machinify is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, age, religion, gender, gender identity, sexual orientation, pregnancy, age, physical or mental disability, genetic characteristics, medical condition, marital status, citizenship status, military service status, political belief status, or any other consideration made unlawful by law.
THIRD PARTY RECRUITMENT AGENCY SUBMISSIONS ARE NOT ACCEPTED UNLESS EXPLICITY AGREED TO IN WRITING
$78.5k-104k yearly Auto-Apply 47d ago
Implementation Business Analyst
Firstsource Solutions 4.3
Remote job
A Healthcare business analyst role involves creating business requirements and act as a liaison between the Business Operations and Technology IT team for any new projects and improvements that help maximize the effectiveness of business outcomes. Prior experience of US healthcare environment as a Business Analyst or Subject Matter expert is important.
Responsibilities:
* Support business initiatives through data analysis, identification of implementation barriers and user acceptance testing of new systems.
* Understand the Business processes and Functional requirements end to end.
* Identify and analyze user requirements, procedures, and problems to improve existing processes.
* Perform detailed analysis on assigned projects, recommend potential business solutions and assist with implementation.
* Identify ways to enhance performance management and operational reports related to new business implementation processes.
* Develop and incorporate organizational best practices into business applications.
* Lead problem solving and coordination efforts between various business units.
* Assist with formulating and updating departmental policies and procedures.
Required Education/Experience:
* Bachelor's degree in a related field or equivalent experience.
* 2 years of business process or data analysis experience, preferably in healthcare (i.e., documenting business processes, gathering requirements).
* Advanced knowledge of Microsoft Applications, including Excel.
Preferred Experience:
* Claims payment/analysis experience.
* Knowledge of managed care information systems and experience in benefits or claims.
* Project management experience.
* Previous structured testing experience.
* SQL scripting experience.
* Visio experience
Firstsource participates in E-Verify and we will provide the Social Security Administration (SSA) and, if necessary, the Department of Homeland Security (DHS), with information from each new employee's I-9 to confirm work authorization.
It is the policy of this Company to seek and employ qualified individuals at all locations and facilities, and to provide equal employment opportunities for all applicants and employees in recruiting, hiring, placement, training, compensation, insurance, benefits, promotion, transfer, and termination.
$66k-94k yearly est. 3d ago
Complex Claims Administrator
Harris & Harris Ltd. 4.3
Remote or Chicago, IL job
Job Description
Harris & Harris has over 50 years of experience in the customer service and revenue recovery field, specializing in the utilities, government, and healthcare markets. We're looking for friendly, professional, and motivated Complex Claims Administrator join our Legal Compliance team. If you're looking for a company that embraces the principles of respect, compassion, and trust, apply today!
Complex Claims Administrator
The Complex Claims Administrator will work as a patient advocate, and ensure proper research, billing, and filing of all complex claims.
Schedule: 8:00am to 5:00pm Monday through Friday are regular business hours.
Location: Can work remotely, candidates local to Chicagoland preferred
Salary: $20.00/hour
Additional Compensation and Benefits:
At Harris & Harris, we truly care about each employee's health, wellness, financial stability, and education. We are proud to offer each employee the following benefits:
Medical and Dental insurances from premium providers
401K with matching
Company paid Accident and Disability Insurance, Long Term Disability Insurance, EAP, and Travel Assistance
Tuition Reimbursement
Paid Time Off
Additional benefits such as identity theft protection, flexible spending accounts, pre-tax commuter benefits, and more.
DAY TO DAY
Work in the clients EMR, Patient Account System, and Software Platforms to identify Liability Claims and correctly bill both hospital, and professional claims.
Review police reports, medical records, and all available information to assist in correctly billing liability claims.
Perform duties as a patient advocate by speaking with a patient that was seen at the hospital as a result of an accident
Making outbound/inbound calls to the patient to assist in obtaining liability information, and assisting in opening a claim when deemed necessary
Complete daily billing activities for new accounts.
Updating the clients Patient Accounting System with proper notation.
Completing weekly reports needed to resolve accounts (i.e. rebill reports, reject reports).
Electronic filing of incoming documents
Develop a relationship with payers to encourage timely request and prompt payment.
WHAT YOU MUST POSSESS
Must Have:
High School Diploma or GED required, some college a plus'
Medical Billing experience
Experience Working in Multiple systems at the same time
Experience with Healthcare systems like Epic
General understanding of Workers Compensation laws
Must be very detail oriented
Experience with 10-key data entry
Ability to type 35-40 wpm
WHY HARRIS & HARRIS?
Harris & Harris is a premier, full-service revenue recovery firm headquartered and founded in Chicago, IL. Founded in 1968, we have been in business for more than 50 years, and we specialize in the utilities, government, and healthcare markets.
The family business Sam Harris started is now a firm of more than 500 hundred employees including collections professionals and customer care representatives who employ the latest technology and best ethical practices to help businesses recover revenue and provide world class customer service.
We take pride in knowing what it takes to turn a call from "average" to "excellent." We have been delighting clients and customers for decades thanks to our outstanding employees. They make the difference every day, shift, and call and transform challenges into victories.
At Harris & Harris, we're proud to be an organization where everyone is welcome and can be their authentic selves at work. We're passionate about celebrating the differences that make each of us unique. Our culture focuses on our employees and we look for opportunities to recognize and celebrate together. We are an organization that cares about our people. From monthly activities, bonuses and contests, to competitive wages and benefits, we foster an environment where we employees feel valued.
We also are an organization that believes in the power of giving back. Our internal cross functional committee, Harris Cares, guides our philanthropic activities. We have partnered with organizations such as One Warm Coat, Greater Chicago Food Depository, American Cancer Society, Bright Pink, The Heat and Warmth Fund (THAW), and Operation Stars and Stripes. Most recently we have partnered with local schools and charitable organizations to give back to our communities including the American Heart Association, Habitat for Humanity, A Just Harvest, and R. Nathaniel Dett Elementary School.
At Harris & Harris, everyone is important, and one person can make a difference for their colleagues, for our clients, and for our company. We look forward to hearing from you!
Harris & Harris is an equal opportunity employer. Applicants will not be discriminated against based on race, color, creed, sex, sexual orientation, gender identity or expression, age, religion, national origin, disability, ancestry, marital status, veteran status, medical condition or any protected category prohibited by local, state or federal laws.
$20 hourly 10d ago
Manager-HRBP
Firstsource Solutions 4.3
Remote or Palm Bay, FL job
The Manager - HRBP is responsible for serving as a strategic partner to business units, driving the execution of HR initiatives, covering areas like talent management, employee relations, performance management, and workforce planning, to ensure alignment with organizational goals, enhance employee engagement, and nurtures a positive workplace culture
Roles & Responsibilities
* Business Partnership: Build strong relationships with business units and serve as a strategic HR partner, understanding their goals and needs.
* Talent Management: Collaborate with business leaders to identify, attract, develop, and retain top talent to meet organizational objectives.
* Performance Management: Implement performance management processes, including goal setting, performance evaluations, and feedback, to improve individual and team performance.
* Employee Relations: Address and resolve complex employee relations issues, ensuring fair and consistent treatment of employees.
* Workforce Planning: Assist in workforce planning, including staffing needs, succession planning, and skills development.
* Change Management: Support and lead change management efforts within business units, ensuring smooth transitions during organizational changes.
* Workplace Culture: Promote a positive workplace culture by championing diversity and inclusion initiatives, employee engagement, and a values-driven environment.
* HR Compliance: Ensure compliance with employment laws, regulations, and company policies, and provide guidance to business units on HR compliance matters.
* Data Analysis: Utilize HR data and metrics to make data-driven decisions and recommendations for improving HR strategies.
* Employee Engagement: Implement employee engagement initiatives, gather employee feedback, and measure employee sentiment.
* HR Reporting: Generate HR reports and analyses to provide insights on workforce trends, HR performance, and areas for improvement.
* Collaboration: Collaborate with other HR team members and departments to align HR strategies and initiatives with organizational goals.
* Project Management: Manage HR projects and initiatives, ensuring they are completed on time and within budget.
* Uphold a strong commitment to business ethics, including confidentiality and data privacy.
* Maintain consistent performance to achieve predefined performance metrics.
* Strictly adhere to compliance regulations and security policies.
* Ensure compliance with all federal, state and local laws.
Expected/Key Results
* Enhancing Employee Engagement and Ensuring Timely Communication
* Elevating Employee Satisfaction
* Managing the Performance Management Process and Promoting Career Progression for Employees
* Improving Employee Retention
* Ensure 100% compliance
* Adherence to SLA, quality and KPI targets
Qualifications
The qualifications listed below are representative of the background, knowledge, skill, and/or ability required to perform their duties and responsibilities satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the job.
* High school diploma or equivalent required
* Bachelor's Degree preferred or equivalent combination of education and work experience
* 4+ years of experience in human resources
* Relevant years of experience in human resources, with a focus on HRBP or CoE roles
* Experience in strategic business partnership and talent management, including performance management and workforce planning.
Competencies & Skills
* Ability to cultivate strong partnerships with stakeholders and employees.
* Exceptional communication skills, both written and verbal.
* Skill in implementing effective performance management processes, setting clear goals, and providing feedback.
* Proficiency in using HR data to make data-driven decisions and provide insights.
* Capable to address complex employee relations issues fairly and equitably.
* Skill in managing HR projects and initiatives efficiently and within budget.
* Possesses a consultative approach, seeking input and feedback from others.
* Understanding of the organization's industry, operations, and competitive landscape.
* Understanding of employment laws, regulations, and HR compliance standards.
* Proficiency in Microsoft Office products, particularly Outlook and Word
* Working knowledge of MS Teams and willingness to appear on-camera, when needed
* Strong verbal and written communication skills, with the ability to maintain professionalism in interactions with employees
* Strong work ethic with high standards of reliability and dependability
* Commitment to protecting data privacy in maintaining, disclosing and transmitting employee confidential, private and sensitive information
* Self-disciplined and capable of maintaining focus with minimal supervision
Additional Qualifications
* Ability to occasionally work flexible hours to address business demands and employee needs
* Ability to occasionally travel out-of-town, including nationwide and international
* Possession of a valid driver's license and ability to meet insurability standards for any work-related driving
* Ability to download 2-factor authentication application(s) on personal device, in accordance with company and/or client requirements
* Ability to pass a pre-employment background investigation based on client requirements, including but not limited to, criminal history, motor vehicle report, work authorization verification, and credit report .
Work Environment
* The work environment characteristics described here are representative of those an employee encounters while performing this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* This position may work remotely from home or onsite, exposed to outdoor weather conditions during travel, if applicable.
Physical Demands
* The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Must be able to regularly or frequently talk and hear, sit for prolonged periods, use hands and fingers to type, and use close vision to view and read from a computer screen and/or electronic device. Must be able to occasionally stand and walk, climb stairs, and lift equipment up to 25 pounds.
* Firstsource is an Equal Employment Opportunity employer. All employment decisions are based on valid job requirements, without regard to race, color, religion, sex (including pregnancy, gender identity and sexual orientation), national origin, age, disability, genetic information, veteran status, or any other characteristic protected under federal, state or local law.
* Firstsource also takes Affirmative Action to ensure that protected veterans and qualified disabled persons are introduced into our workforce and considered for employment and advancement opportunities.
$67k-106k yearly est. 60d+ ago
Medical Review Nurse II - Home Health
Performant Financial 4.7
Remote job
ABOUT MACHINIFY:
In October 2025, Machinify acquired Performant and we are now part of the Machinify organization. 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, Machinify's AI operating system, combined with proven expertise, untangles healthcare data to deliver industry-leading speed, quality, and accuracy. We're reshaping healthcare payment through seamless intelligence.
ABOUT THE OPPORTUNITY:
Hiring Range:$75,000 - $80,000
The Medical Review Nurse II - Home Health primarily performs medical claims audit reviews. As a MR Nurse, you will join a team of experienced medical auditors and coders performing retrospective and prepayment audits on claims for Government and Commercial Payers. You will work remotely in a fast paced and dynamic environment and be part of a multi-location team.
Key Responsibilities:
Auditing claims for medically appropriate services provided in both inpatient and outpatient settings while applying appropriate medical review guidelines, policies and rules.
Document all findings referencing the appropriate policies and rules.
Generate letters articulating audit findings.
Supporting your findings during the appeals process if requested.
Working collaboratively with the audit team to identify and obtain approval for particular vulnerabilities and/or cases subject to potential abuse.
Work in partnership with our clients, CMD colleagues, and other contractors on improving medical policies, provider education, and system edits.
Keep abreast of medical practice, changes in technology, and regulatory issues that may affect our clients.
Work with the team to minimize the number of appeals; Suggest ideas that may improve audit workflows; Assist with QA functions and training team members.
Participate in establishing edit parameters, new issue packets and development of Medical Review Guidelines.
Interface with and support the Medical Director and cross train in all clinical departments/areas.
Other duties as required to meet business needs.
Knowledge, Skills and Abilities Needed:
Experience with utilization management systems or clinical decision-making tools such as Medical Coverage Guidelines (MCG) or InterQual.
Experience with and deep knowledge of ICD-9, ICD-10, CPT-4 or HCPCS coding.
Knowledge of insurance programs program, particularly the coverage and payment rules.
Ability to maintain high quality work while meeting strict deadlines.
Excellent written and verbal communication skills.
Ability to manage multiple tasks including desk audits and claims review.
Must be able to independently use standard office computer technology (e.g. email telephone, copier, etc.) and have experience using a case management system/tools to review and document findings.
Must be able to manage multiple assignments effectively, create documentation outlining findings and/or documenting suggestions, organize and prioritize workload
Effectively work independently and as a team, in a remote setting.
Required and Preferred Qualifications:
Active unrestricted RN license in good standing, is required.
Must not be currently sanctioned or excluded from the Medicare program by the OIG.
Minimum of five (5) years diversified nursing experience providing direct care in an inpatient or outpatient setting.
One (1) or more years' experience performing medical records review.
One (1) or more years' experience in health care claims that demonstrates expertise in, ICD-9/ICD-10 coding, HCPS/CPT coding, DRG and medical billing experience for an Insurance Company or hospital required.
Strong preference for experience performing utilization review for an insurance company, Tricare, MAC, or organizations performing similar functions.
WHAT WE OFFER:
Machinify offers a wide range of benefits to help support a healthy work/life balance. These benefits include medical, dental, vision, HSA/FSA options, life insurance coverage, 401(k) savings plans, family/parental leave, paid holidays, as well as paid time off annually. For more information about our benefits package, please refer to our benefits page on our website or discuss with your Talent Acquisition contact during an interview.
Physical Requirements & Additional Notices:
If working in a hybrid or fully remote setting, access to reliable, secure high-speed Internet at your home office location is required. Proof of such may be required prior to an offer being made. It is the Employee's responsibility to maintain this Internet access at their home office location.
The following is a general summary of the physical demands and requirements of an Office/Clerical/Professional or similar job, whether completed remotely at a home office or in a typical on-site professional office environment. This is not intended to be an exhaustive list of requirements, as physical demands of each individual job may vary.
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.
Machinify is a government contractor and subject to compliance with client contractual and regulatory requirements, including but not limited to, Drug Free Workplace, background requirements, and other clearances (as applicable). As such, the following requirements will or may apply to this position:
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 Machinify Teleworker Agreement upon hire and adhere to the Agreement and all related policies and procedures.
Other requirements may apply.
All employees and contractors for Machinify may and/or will have access to Sensitive, Proprietary, Confidential and/or Public data. As such, all employees and contractors will have ownership and responsibility to report any violations to the Confidentiality and Integrity of Sensitive, Proprietary, Confidential and/or Public data at all times. Violations to Machinify's policy related to the Confidentiality or Integrity of data may be subject to disciplinary actions up to and including termination.
Machinify is committed to the full inclusion of all qualified individuals. In keeping with our commitment, Machinify will take the steps to assure that people with disabilities are provided reasonable accommodations. Accordingly, if you believe a reasonable accommodation is required to fully participate in the job application or interview process, to perform the essential functions of the position, and/or to receive all other benefits and privileges of employment, please contact Machinify's Human Resources team to discuss further.
Our diversity makes Machinify unique and strengthens us as an organization to help us better serve our clients. Machinify is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, age, religion, gender, gender identity, sexual orientation, pregnancy, age, physical or mental disability, genetic characteristics, medical condition, marital status, citizenship status, military service status, political belief status, or any other consideration made unlawful by law.
THIRD PARTY RECRUITMENT AGENCY SUBMISSIONS ARE NOT ACCEPTED UNLESS EXPLICITY AGREED TO IN WRITING
$75k-80k yearly Auto-Apply 13d ago
Claims Examiner
Firstsource Solutions 4.3
Remote job
Job Title: Medical Claims Examiner-Work From Home Job Type: Full Time FLSA Status: Non-Exempt/Hourly Grade: H Function/Department: Health Plan and Healthcare Services Reporting to: Team Lead/Supervisor - Operations Role Description: The Claims Examiner evaluates insurance claims to determine whether their validity and how much compensation should be paid to the policyholder. The Claims Examiner is responsible for reviewing all aspects of the claim, including reviewing policy coverage, damages, and supporting documentation provided by the policyholder.
Roles & Responsibilities
* Review insurance claims to assess their validity, completeness, and adherence to policy terms and conditions.
* Collect, organize, and analyze relevant documentation, such as medical records, accident reports, and policy information.
* Ensure that claims processing aligns with the company's insurance policies and relevant regulatory requirements.
* Conduct investigations, when necessary, which may include speaking with claimants, witnesses, and collaborating with field experts.
* Analyze policy coverage to determine the extent of liability and benefits payable to claimants.
* Evaluate the extent of loss or damage and determine the appropriate settlement amount.
* Communicate with claimants, policyholders, and other stakeholders to explain the claims process, request additional information, and provide status updates.
* Make recommendations for claims approval, denial, or negotiation of settlements, and ensure timely processing.
* Maintain accurate and organized claim files and records.
* Stay updated on industry regulations and maintain compliance with legal requirements.
* Provide excellent customer service, addressing inquiries and concerns from claimants and policyholders.
* Strive for high efficiency and accuracy in claims processing, minimizing errors and delays.
* Stay informed about industry trends, insurance products, and evolving claims management best practices.
* Generate and submit regular reports on claims processing status and trends.
* Perform other duties as assigned.
Top of Form
Qualifications
The qualifications listed below are representative of the background, knowledge, skill, and/or ability required to perform their duties and responsibilities satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the job.
Top of Form
Top of FormEducation
* High School diploma or equivalent required
Work Experience
* Medical claims processing experience required, including use of claims processing software and related tools
Competencies & Skills
* Highly-motivated and success-driven
* Exceptional verbal and written communication and interpersonal skills, including negotiation and active-listening skills
* Exceptional analytical and problem-solving skills
* Strong attention to detail with a commitment to accuracy
* Ability to adapt to change in a dynamic fast-paced environment with fluctuating workloads
* Basic mathematical skills
* Intermediate typing skills
* Basic computer skills
* Knowledge of medical terminology, ICD-9/ICS-10, CPT, and HCPCS coding, and HIPAA regulations preferred
* Knowledge of insurance policies, regulations, and best practices preferred
Additional Qualifications
* Ability to download 2-factor authentication application(s) on personal device, in accordance with company and/or client requirements
* Ability to pass the required pre-employment background investigation, including but not limited to, criminal history, work authorization verification and drug test
Work Environment
The work environment characteristics described here are representative of those an employee encounters while performing this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
This position may work onsite or remotely from home.
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Must be able to regularly or frequently talk and hear, sit for prolonged periods, use hands and fingers to type, and use close vision to view and read from a computer screen and/or electronic device. Must be able to occasionally stand and walk, climb stairs, and lift equipment up to 25 pounds.
Firstsource is an Equal Employment Opportunity employer. All employment decisions are based on valid job requirements, without regard to race, color, religion, sex (including pregnancy, gender identity and sexual orientation), national origin, age, disability, genetic information, veteran status, or any other characteristic protected under federal, state or local law.
Firstsource also takes Affirmative Action to ensure that minority group individuals, females, protected veterans, and qualified disabled persons are introduced into our workforce and considered for employment and advancement opportunities.
About Firstsource
Firstsource Solutions is a leading provider of customized Business Process Management (BPM) services. Firstsource specialises in helping customers stay ahead of the curve through transformational solutions to reimagine business processes and deliver increased efficiency, deeper insights, and superior outcomes.
We are trusted brand custodians and long-term partners to 100+ leading brands with presence in the US, UK, Philippines, India and Mexico. Our 'rightshore' delivery model offers solutions covering complete customer lifecycle across Healthcare, Telecommunications & Media and Banking, Financial Services & Insurance verticals.
Our clientele includes Fortune 500 and FTSE 100 companies.
Job Type: Full-time
Benefits:
* 401(k)
* 401(k) matching
* Dental insurance
* Employee assistance program
* Flexible spending account
* Health insurance
* Life insurance
* Paid time off
* Referral program
* Vision insurance
Work Location: Remote
$31k-49k yearly est. 21d ago
Revenue Cycle Billing Specialist
Firstsource Solutions 4.3
Remote job
Schedule: 8am to 4:30pm Pay: $17 to $22 per hour, D.O.E. The goal of the Revenue Cycle Billing Specialist is to successfully collect on aging medical insurance claims. Essential Duties and Responsibilities: * File claims using all appropriate forms and attachments
* Handle Outbound calls and Maneuver between several different software systems
* Research account denials and file written appeals, when necessary.
* Evaluate the information received from the client to determine which insurance to bill and attain necessary attachments or supporting documentation to send with each claim.
* Ensure the integrity of each claim that is billed.
* Document in detail all efforts in CUBS system and any other computer system necessary.
* Verify patient information and benefits.
Additional Duties and Responsibilities:
* Meet specified goals and objectives as assigned by management.
* Maintain good working relationships with state and Federal agencies.
* Resolve accounts in a timely manner.
* Always maintain confidentiality of account information.
* Adhere to the prescribed policies & procedures as outlined in the Employee Handbook and Employee Code of Conduct.
* Maintain awareness of and actively participate in the Corporate Compliance Program.
* Maintain a confidential and orderly remote work area.
* Assist with other projects as assigned by management.
Educational/Vocational/Previous Experience Recommendations:
* High school diploma or equivalent is required.
* Formal training in the specialty of Insurance Billing preferred.
* Knowledge of all insurance payers preferred.
* Ability to effectively work and communicate with patients, co-workers, and management both in person and remote virtual chat environments
* Ability to always present oneself in a courteous and professional manner
* Ability to stay on task with little or no management supervision
* Demonstrate initiative and creativity in fulfilling job responsibilities
* Capacity to prioritize multiple tasks using time management and organizational skills.
* Proficient PC knowledge and the ability to type 30-40 wpm.
Working Conditions:
* Remote work from home office, virtual Call Center environment.
* Must be able to sit for extended periods of time.
We are an Equal Opportunity Employer. All qualified applicants are considered for employment without regard to race, color, age, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other characteristic protected by federal, state or local law.
$17-22 hourly 60d+ ago
Systems Integration Developer
Firstsource Solutions 4.3
Remote job
We are seeking a highly skilled Senior BPaaS System Integration Developer to design, build, and maintain integrations across our enterprise BPaaS platform. This role is critical in ensuring seamless interoperability between core administrative platforms, middleware, ETL pipelines, and partner/customer systems. The ideal candidate has strong expertise in Python development, OnBase middleware (or equivalent ETL/data integration tools), and enterprise system integration in complex, regulated environments such as healthcare or financial services.
Key Responsibilities
* Design, develop, and maintain system integrations across BPaaS platforms (claims, billing, clinical, member/provider, etc.).
* Develop robust, reusable applications to support data transformation, workflow automation, and integration pipelines.
* Configure and manage integrations leveraging OnBase middleware (or comparable tools such as MuleSoft, Boomi, Informatica, Talend, SnapLogic).
* Collaborate with business analysts, architects, and QA to deliver high-quality, scalable solutions that meet business and compliance requirements.
* Support ETL processes, ensuring accurate data extraction, transformation, and load into target systems.
* Participate in solution design sessions, code reviews, and technical documentation.
* Troubleshoot, optimize, and enhance existing integrations to improve performance, resilience, and maintainability.
* Ensure all integrations comply with security standards, HIPAA/SOC2 requirements, and corporate governance policies.
* Mentor junior developers and contribute to best practices for coding, version control, and integration management.
Qualifications
Required:
* Bachelor's degree in Computer Science, Information Systems, or related field (or equivalent experience).
* 7+ years of experience in software development and system integration.
* Strong expertise in Python (automation, APIs, data transformation, scripting, packages).
* Hands-on experience with Edifecs middleware or equivalent ETL/integration tools.
* Proficiency in designing and consuming REST/SOAP APIs, message queues (Kafka, RabbitMQ), and file-based integrations (SFTP, flat files, JSON, XML).
* Solid understanding of databases (SQL Server, Oracle, PostgreSQL, or similar).
* Experience in cloud platforms (Azure, AWS, GCP) and hybrid integration patterns.
* Strong debugging, problem-solving, and performance optimization skills.
Preferred:
* Experience in healthcare payer systems (claims, enrollment, clinical, billing, provider/member).
* Familiarity with HealthEdge HRP, GuidingCare, Edifecs, or similar platforms.
* Knowledge of DevOps pipelines (CI/CD, Git, Jenkins, Azure DevOps).
* Prior work in a BPaaS or SaaS multi-tenant architecture environment.
* Experience mentoring or leading small technical teams.
Soft Skills
* Strong collaboration skills with cross-functional teams (business, QA, operations).
* Excellent communication, both written and verbal.
* Ability to work independently and manage multiple priorities.
* Adaptable in a fast-paced, large-scale transformation program environment.
$90k-121k yearly est. 60d+ ago
Healthcare Provider Contract and Pricing Manager
Performant Financial 4.7
Remote job
ABOUT MACHINIFY:
In October 2025, Machinify acquired Performant and we are now part of the Machinify organization. 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, Machinify's AI operating system, combined with proven expertise, untangles healthcare data to deliver industry-leading speed, quality, and accuracy. We're reshaping healthcare payment through seamless intelligence.
ABOUT THE OPPORTUNITY:
Hiring Range: $90,000 - $110,000 Annual Salary
The Manager, Healthcare Provider Contract and Pricing has responsibility for managing staff and creating an infrastructure to support Performant's claims repricing and contract audits ensuring the needs of the business are met for successful daily operations of healthcare audit and recovery.
Key Responsibilities to include:
Oversee team functions including, but not limited to:
Interpretation (and documentation of) provider contract payment information for use by the complex and automated teams
Development of algorithms to identify inappropriate payments
QA of fee schedule loads - Analysis of data results to ensure accuracy of contract interpretation and system loads
Creation and processing of system files, and needed workflows using available tools, specific layouts, conditions, and instructions to create overpayment files
Responds to internal and external questions regarding data results and pricing calculations
Participate in the development or analysis of new/changing concepts and related data
Concept research and application of appropriate Medicare, Medicaid and other regulatory policy and rules
Conducting sample tests to prove and quantify the value of concepts
Hires, trains, and develops staff; proactively manages team performance against objectives and deliverables to ensure high quality output meets business needs, and: resolves conflict in a tactful and effective manner.
Develops and ensures training and support to new team members as well as all team members for any new or changing workflows or requirements
Develop and maintain infrastructure tools and documentation as well as contribute to the development and/or improvement based upon changing requirements and/or new client requirements/contracts.
Drives research, analysis and resolution of complex questions, issues, and needs that arise.
Drives continuous improvement efforts and develops/delivers tools and training to increase knowledge, efficiency, and consistency of department output.
.Applies strong communication and interpersonal skills to develop professional relationships and collaborates effectively with internal department leaders/staff, as well as clients and other external stakeholders and service providers.
Maintains current knowledge of and compliance with company policies, processes and procedures, Medicare/Medicaid rules, regulations, policies and procedures, contract requirements, and HIPAA certification; and ensures team members do the same.
Keeps abreast of medical practice, changes in technology, and regulatory concepts, or changes in reimbursement that may affect the Client contracts.
Completion of Teleworker Agreement upon hire, and adherence to the Agreement (and related policies and procedures) including, but not limited to: able to navigate computer and phone systems as a user to work remote independently using on-line resources, must have high-speed internet connectivity, appropriate workspace able to be compliant with HIPAA, safety & ergonomics, confidentiality, and dedicated work focus without distractions during work hours.
Other Duties as assigned
Knowledge, Skills and Abilities Needed:
Excellent verbal and written communication and interpersonal skills; ability to effectively communicate at all levels within the organization both internal and external.
Strong project and operations management skills; inventory management, resource planning, developing, and leveraging reports; developing policies and procedures.
Leverages strong analytical, critical thinking and problem-solving skills; Skill in analyzing information, identifying trends, and presenting solutions.
Demonstrated ability to apply excellent judgement and decision-making skills.
Demonstrated success building and lead high performing teams.
Adaptable and thrives in a fast-paced dynamic environment with changing priorities.
Possess broad and comprehensive understanding of applicable healthcare concepts, standards, tools, policies, and regulations relevant for medical claim repricing:
Knowledge in ICD-10-CM/PCS, CPT-4, and HCPCS coding;
Experience with diagnostic grouper tools such as MS DRG, APC, APR-DRG, EAPG, preferred
Experience in interpreting provider contracts payment methodologies, preferred
Knowledge of the national coding standards, particularly payment rules
Knowledge of commercial claims processing systems
Knowledge of Medicare/Medicaid programs, particularly payment rules
Experience analyzing and manipulating health care data leveraging strong data manipulation skills. using database and spreadsheet applications.
Strong computer skills; intermediate level experience with MS Office products including Outlook, Word, PowerPoint, intermediate to advanced Microsoft Excel, and the ability to quickly develop expertise in new systems and applications.
Use of logical and critical thinking skills and exceptional problem-solving skills to identify solutions to complex scenarios.
Required and Preferred Qualifications:
BA/BS in relevant field (e.g., Finance, Accounting, Healthcare Administration) or equivalent combination of relevant education and experience.
7+ years of relevant experience in healthcare provider reimbursement and/or health insurance payor experience in medical billing, claims auditing, claims analysis and/or actuarial analysis.
Minimum of 3 years in supervisory/management that includes oversite for remote staff.
WHAT WE OFFER:
Machinify offers a wide range of benefits to help support a healthy work/life balance. These benefits include medical, dental, vision, HSA/FSA options, life insurance coverage, 401(k) savings plans, family/parental leave, paid holidays, as well as paid time off annually. For more information about our benefits package, please refer to our benefits page on our website or discuss with your Talent Acquisition contact during an interview.
Physical Requirements & Additional Notices:
If working in a hybrid or fully remote setting, access to reliable, secure high-speed Internet at your home office location is required. Proof of such may be required prior to an offer being made. It is the Employee's responsibility to maintain this Internet access at their home office location.
The following is a general summary of the physical demands and requirements of an Office/Clerical/Professional or similar job, whether completed remotely at a home office or in a typical on-site professional office environment. This is not intended to be an exhaustive list of requirements, as physical demands of each individual job may vary.
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.
Machinify is a government contractor and subject to compliance with client contractual and regulatory requirements, including but not limited to, Drug Free Workplace, background requirements, and other clearances (as applicable). As such, the following requirements will or may apply to this position:
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 Machinify Teleworker Agreement upon hire and adhere to the Agreement and all related policies and procedures.
Other requirements may apply.
All employees and contractors for Machinify may and/or will have access to Sensitive, Proprietary, Confidential and/or Public data. As such, all employees and contractors will have ownership and responsibility to report any violations to the Confidentiality and Integrity of Sensitive, Proprietary, Confidential and/or Public data at all times. Violations to Machinify's policy related to the Confidentiality or Integrity of data may be subject to disciplinary actions up to and including termination.
Machinify is committed to the full inclusion of all qualified individuals. In keeping with our commitment, Machinify will take the steps to assure that people with disabilities are provided reasonable accommodations. Accordingly, if you believe a reasonable accommodation is required to fully participate in the job application or interview process, to perform the essential functions of the position, and/or to receive all other benefits and privileges of employment, please contact Machinify's Human Resources team to discuss further.
Our diversity makes Machinify unique and strengthens us as an organization to help us better serve our clients. Machinify is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, age, religion, gender, gender identity, sexual orientation, pregnancy, age, physical or mental disability, genetic characteristics, medical condition, marital status, citizenship status, military service status, political belief status, or any other consideration made unlawful by law.
THIRD PARTY RECRUITMENT AGENCY SUBMISSIONS ARE NOT ACCEPTED UNLESS EXPLICITY AGREED TO IN WRITING
$90k-110k yearly Auto-Apply 60d+ ago
Supervisor, Medical Review Audit - Clinical (SNF)
Performant Financial 4.7
Remote job
ABOUT MACHINIFY:
In October 2025, Machinify acquired Performant and we are now part of the Machinify organization. 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, Machinify's AI operating system, combined with proven expertise, untangles healthcare data to deliver industry-leading speed, quality, and accuracy. We're reshaping healthcare payment through seamless intelligence.
ABOUT THE OPPORTUNITY:
Hiring Range:$78,500.00 - $93,400.00
The Medical Review Audit Supervisor - Clinical (SNF) leverages their nursing background, deep knowledge of clinical review, and experience leading others to manage staff and operational results for a remote team of nurses and other audit roles, performing clinical review audits. The Supervisor will leverage first-hand experience and knowledge of claims auditing for supporting management with strategy activities such as needs assessments, capacity planning, and ensuring required staffing levels and productivity & quality standards are being achieved consistently.
Key Responsibilities to include:
Regularly performs limited volume of clinical audits to maintain subject matter expertise, and additionally as needed to support business needs.
Performs audit quality assurance reviews to supplement QA team activity as necessary based upon business need or special projects.
Contributes to the resolution of quality review rebuttals.
May perform appeals review/activity to supplement Appeals team, based upon business need.
Actively identifies and recommends opportunities for cost savings and improving outcomes that can have a direct impact to the company's profitability.
Effectively ensures adherence to medical review guidelines and training requirements of staff.
Supports audit management and segment specialists with activities for new concept implementation
Supports management with needs assessments and capacity planning
Monitor and manage inventory of assigned business to ensure timelines are met.
Use data, reports and experience to proactively identify potential backlogs and align resources to meet business needs and SLAs.
Oversee and review audit determinations to ensure consistency in decision-making.
Collaborate with other departments to resolve operational problems.
Proactively monitors and in alignment with applicable management ensures activity required to meet team staffing levels necessary to achieve business objectives.
Provides support as needed to ensure auditors are equipped with tools and resources required to perform audits.
Supervise daily activities of clinical audit staff that may include both salaried exempt and hourly employees.
Provide audit guidance to medical review staff; identify trends and present solutions.
Routinely provides production and quality performance-based progress reports, coaching, and constructive feedback to staff.
Manages team Time and Attendance (time off/use of accruals, attendance, attendance points and timecards for hourly staff, etc.) in accordance with applicable policies and procedures.
Collaborates with The People Team for applicable corrective action as applicable.
Complete and conduct performance reviews for assigned staff.
Conduct team meetings with direct reports on a regular basis.
Provide leadership to team members, provide solutions, and resolve conflicts.
Escalate to management and collaborate with HR as applicable to bring appropriate solutions to employee matters.
Provide reporting and updates to management as required and appropriate for operational and staff activity and results.
Participates in and contributes to applicable department meetings.
May participate to client-facing meetings; research and analyze issues; present findings and solutions; and/or provider training.
May support management with activities to monitor inventory and activity of 3rd party/subcontractors.
Become subject matter expert for assigned business segment(s).
Maintain current knowledge and changes that affect our industry and clients as it pertains to medical practice, technology, regulations, legislation and business trends.
May support training material/tools and best practices development.
Identify needs and ensure team receives necessary training.
Support training activities for new audit staff or provide supplemental training for existing staff as needed.
Contributes to positive team environment that fosters open communication, sharing of information, continuous improvement, and optimized business results.
Receives feedback and adjusts work priority for self and team as necessary.
Leads by example and conducts work in accordance with company policies, government regulations and law.
Perform other incidental and related duties as required and assigned to meet business needs.
Knowledge, Skills and Abilities Needed:
Strong knowledge of medical documentation requirements and an understanding CMS, Medicaid and/or Commercial insurance programs, particularly the coverage and payment rules.
Experience with CPT/HCPCs/ICD-9/ICD-10/MS-DRG coding.
Proficiency with MCS 1500/UB 04 forms
Working knowledge of encoder
Experience with utilization management systems or clinical decision-making tools such as Medical Coverage Guidelines, Milliman or InterQual.
Proven ability to review, analyze, and research medical billing, documentation, and coding issues
Reimbursement policy and/or claims software analyst experience
Familiarity with interpreting electronic medical records (EHR)
Willing and able to lead by example, communicate ideas, take initiative and drive the team to achieve organizational goals.
Experience in developing, documenting and implementing process and procedures.
Experience in inventory management, resource planning and report generation.
Skill in analyzing information, identifying trends and presenting solutions.
Understands inventory management objectives, activities, and key drivers in achieving operational goals.
Demonstrated ability to consistently apply sound judgment and good effective decision making.
Excellent communication skills, both verbal and written; ability to communicate effectively and professionally at all levels within the organization, both internal external.
Demonstrated ability to collaborate effectively in a variety of settings and topics.
Excellent editing and proofreading skills.
Demonstrated ability to successfully develop, lead, and motivate a team to high performance; effectively provides constructive feedback and coaching for successful outcomes.
Ability to independently organization, prioritize and plan work activities effectively for self and others; develops realistic action plans with the ability to multi-task effectively.
Excellent time management and delivers results balancing multiple priorities.
Strong analytical skills; synthesizes complex or diverse information; collects and researches data; uses experience to compliment data.
Leverages strong critical thinking, questioning, and listening skills to research and effectively resolve complex issues.
Demonstrated ability to identify areas of opportunity and create efficiencies in workflows and procedures.
Demonstrated ability to be proactive; identifies and resolves problems in a timely manner; develops alternative solutions.
Ability to create documentation outlining findings and/or documenting suggestions.
Strong general technical skills, including, but not limited to Desktop and MS Office applications (Intermediate Excel Skills), application reporting tools, and case management system/tools to review and document findings.
Solid technical aptitude with demonstrated ability to quickly learn and adapt to new systems and tools.
Ability to be flexible and thrive in a high pace environment with changing priorities.
Adaptable to applying skills to diverse operational activities to support business needs.
Self-starter with the ability to work independently in remote setting with minimum supervision and direction in the form of objectives.
Serves as positive role model, and demonstrates characteristics that align and contribute to a collaborative culture of continuous improvement and high performing teams.
Required and Preferred Qualifications:
Current active unrestricted Nursing license in good standing required. Not currently sanctioned or excluded from the Medicare program by OIG, is also required.
Medical coding certification is a plus.
3+ years diverse nursing experience providing direct care in an inpatient or outpatient setting.
2+ years of performing medical record audits in a provider setting, or in a payer setting for a health insurance company.
5+ years in health care claims that demonstrates expertise in ICD-9/ICD-10 coding, HCPS/CPT coding, DRG and medical billing experience for an Insurance Company or hospital required. Those who have less than 5 years experience may be considered based upon demonstrated skills and/or formal training and other relevant experiences
3+ years relevant supervisory or leadership experience in similar business environment, preferred. Experience managing remote staff is a plus.
Some Supervisory experience may be required for certain Supervisor roles.
Prior experience in payer edit development, and/or reimbursement policy experience a plus.
WHAT WE OFFER:
Machinify offers a wide range of benefits to help support a healthy work/life balance. These benefits include medical, dental, vision, HSA/FSA options, life insurance coverage, 401(k) savings plans, family/parental leave, paid holidays, as well as paid time off annually. For more information about our benefits package, please refer to our benefits page on our website or discuss with your Talent Acquisition contact during an interview.
Physical Requirements & Additional Notices:
If working in a hybrid or fully remote setting, access to reliable, secure high-speed Internet at your home office location is required. Proof of such may be required prior to an offer being made. It is the Employee's responsibility to maintain this Internet access at their home office location.
The following is a general summary of the physical demands and requirements of an Office/Clerical/Professional or similar job, whether completed remotely at a home office or in a typical on-site professional office environment. This is not intended to be an exhaustive list of requirements, as physical demands of each individual job may vary.
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.
Machinify is a government contractor and subject to compliance with client contractual and regulatory requirements, including but not limited to, Drug Free Workplace, background requirements, and other clearances (as applicable). As such, the following requirements will or may apply to this position:
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 Machinify Teleworker Agreement upon hire and adhere to the Agreement and all related policies and procedures.
Other requirements may apply.
All employees and contractors for Machinify may and/or will have access to Sensitive, Proprietary, Confidential and/or Public data. As such, all employees and contractors will have ownership and responsibility to report any violations to the Confidentiality and Integrity of Sensitive, Proprietary, Confidential and/or Public data at all times. Violations to Machinify's policy related to the Confidentiality or Integrity of data may be subject to disciplinary actions up to and including termination.
Machinify is committed to the full inclusion of all qualified individuals. In keeping with our commitment, Machinify will take the steps to assure that people with disabilities are provided reasonable accommodations. Accordingly, if you believe a reasonable accommodation is required to fully participate in the job application or interview process, to perform the essential functions of the position, and/or to receive all other benefits and privileges of employment, please contact Machinify's Human Resources team to discuss further.
Our diversity makes Machinify unique and strengthens us as an organization to help us better serve our clients. Machinify is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, age, religion, gender, gender identity, sexual orientation, pregnancy, age, physical or mental disability, genetic characteristics, medical condition, marital status, citizenship status, military service status, political belief status, or any other consideration made unlawful by law.
THIRD PARTY RECRUITMENT AGENCY SUBMISSIONS ARE NOT ACCEPTED UNLESS EXPLICITY AGREED TO IN WRITING
$78.5k-93.4k yearly Auto-Apply 5d ago
Senior Certified Coding Specialist
Firstsource Solutions 4.3
Remote job
Schedule: 8am ET to 5pm ET Pay: $30 to $35 per hour, D.O.E. The HIM Clinical Coder II (Certified) is responsible for timely and accurate assignment of ICD-10-CM, CPT-4, HCPCS, and APC Modifier. This role also assigns codes to all complex records such as SDCs, cardiac catheterization, recurring, anesthesia, and chemotherapy and radiation oncology. This classification is distinctly different than the HIM Clinical Coder I by coding all high dollar charts and discharges with a length of stay exceeding three (3) days. Coding and abstracting duties are performed in compliance with hospital, departmental, regulatory and national coding compliance, and accrediting guidelines. This position works in conjunction with the HIM Technicians in reference to missing documentation and transcribed reports. The HIM Clinical Coder II (Certified) works directly under the supervision of the HIM Manager or HIM Supervisor. This position represents the Health Information Management in court as Custodian of Records. The HIM Clinical Coder II (Certified) assumes responsibility and accountability for the duties and is cognizant of the philosophy, standards, objectives, and policies of the Medical Center and the Health Information Management Department.
Hazards & Physical Requirements: Work in this category is majorly sedentary and involves sitting, some standing and walking; employee may be required to lift or pull up to 10 lbs. frequently or 20 lbs. occasionally.
Education & Experience: Any combination of a High School Diploma or equivalent and familiarity with healthcare administrative office setting with 5 years coding experience. Hospital based coding credentials required.
Specific Requirements: Certified Coding Specialist (CCS), Certified Professional Coder-Hospitals (CPC-H) required.
Duties and Responsibilities:
* Performs the functions of a certified coder which requires coding charts and discharges with hospital stays for more than 3 days.
* Focuses on coding high dollar and complex charts for lengthy hospital stays.
* Assist HIM Coder I with coding complex charts for one (1) to three (3) day hospital stays.
* Uses every available resource to code and abstract medical records timely and accurately.
* Demonstrates the understanding of the coding and abstracting process by assigning the appropriate ICD-10-CM, CPT-4, HCPCS and APC Modifier codes to all outpatient and inpatient encounters.
* Follows the hospital policies and procedures using sound coding judgment based on industry coding guidelines and regulations.
* Follows the most current AHA coding Clinic Guidelines and the UHDDS Official Guidelines for coding and reporting diagnoses and procedures.
* Configures professional E&M service levels based on record documentation and enters corresponding codes/charges appropriately into the system.
* Keeps abreast of all coding compliance guidelines and semi-annual updates through ongoing education and independent research as required to maintain coding certification.
* Queries physicians when code assignment is not straight forward or documentation is inadequate or ambiguous for coding purposes.
* Communicates with the HIM Manager or HIM Supervisor regarding daily assigned tasks.
* Checks email and other memos daily for department and hospital communication.
* Effectively collaborates with HIM Technician III in reference to pending dictation or documentation for coding.
* Reviews and verifies all accounts with an abstract status of In-Process as assigned by HIM Manager or HIM Supervisor.
* Verifies the 5-days report as assigned by the HIM Manager or HIM Supervisor.
* Reports and maintains accurate productivity levels and meets department productivity and quality standards.
* Ability to function temporarily in other HIM roles as department workloads require without reservation.
* Ability to perform other related HIM duties as assigned.
Firstsource is an Equal Employment Opportunity employer. All employment decisions are based on valid job requirements, without regard to race, color, religion, sex (including pregnancy, gender identity and sexual orientation), national origin, age, disability, genetic information, veteran status, or any other characteristic protected under federal, state or local law.
$30-35 hourly 49d ago
Healthcare Audit Recovery Analyst
Performant 4.7
Remote or Plantation, FL job
ABOUT MACHINIFY:
In October 2025, Machinify acquired Performant and we are now part of the Machinify organization. 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, Machinify's AI operating system, combined with proven expertise, untangles healthcare data to deliver industry-leading speed, quality, and accuracy. We're reshaping healthcare payment through seamless intelligence.
ABOUT THE OPPORTUNITY:
Hiring Range: $54,200 - $67,000
The Healthcare Audit Recovery Analyst is responsible for objectively and accurately completing claim audit reviews on assigned Medicare (State) audits while meeting quality and productivity performance goals, as required. This position makes determinations based on claims payment expertise and knowledge while utilizing audit tools and resources available. This role is also responsible for communicating and supporting the identification of additional audit opportunities and participating in development of new ideas, as necessary.
Key Responsibilities to include:
Conducts Medicaid claim audit reviews and determines if claims are appropriately paid in accordance with benefits, contracts and edits, includes review of specific coding and billing guidelines
Documents findings within audit tracking system and maintains thorough and objective documentation of findings
Investigates, researches, and analyzes claims data, applying knowledge of medical or pharmacy policy to determine details of fraudulent or abusive or inaccurate billing activity
Creates narrative rationale to correspond with audit determinations
As needed, supports findings during the appeals process
Serves as a claims payment resource; provides claims payment expertise, and claims payment guidance to the team
Works collaboratively with the audit team to identify vulnerabilities and/or cases subject to potential abuse
Monitors, tracks and reports on all work conducted
Consults with our clients, physicians, other claims payment resources and contractors as necessary
Maintains current knowledge of changes in technology, practice and regulatory issues that may affect our clients
Participates in process improvement activities and encourages ownership of and group participation in improvement initiatives
As needed, assists with quality assurance functions, development of medical review guidelines and training
Identifies and recommends opportunities for cost savings and improving outcomes
Attends conference calls and meetings as requested
Performs other duties as assigned
Knowledge, Skills & Abilities Needed:
LTC (Long Term Care) Caseworker or Nursing Home technical and administrative skills preferred
Understanding of NAMI, Diversion/Deduction Calculations, Spenddown, and Estate Recovery preferred
Working knowledge of coordination of benefits and medical claims processing
Knowledge of insurance programs, particularly the coverage and Medicaid payment rules preferred
Ability to be flexible and seizes the opportunity to cross train
Ability to maintain high quality work while meeting deadlines and performance metrics
Excellent organizational, interpersonal and communication skills
Strong problem solving skills
Excellent organizational, interpersonal and communication skills
Must be able to independently use standard office computer technology (e.g. email telephone, copier, etc.) and have experience using a case management system/tools to review and document findings
Must be able to manage multiple assignments effectively, create documentation outlining findings and/or documenting suggestions, organize and prioritize workload, problem solve, work independently and with team members
Acute sense of professionalism and confidentiality
Typing skills and working knowledge of computer functions and applications such as MS office (Outlook, Word, Excel)
Intermediate level of proficiency with Microsoft Excel, Word and Access
Experience with EHRs and billing software such as PointClickCare, SigmaCare or MatrixCare
Capability of working in a fast-pace environment, flexibility with assignments and the ability to adapt in a changing environment
Requirements & Qualifications:
High School Diploma is required. Bachelor's degree, or an equivalent level of competence obtained through experience, education and/or training, may be required for some specific roles
Medical Coder certification is a plus
Experience with Commercial healthcare contracts and Reimbursement models (e.g. Medicare, Medicaid, & Commercial Insurance), is required
3+ years healthcare claims processing with experience in Medicaid claims
3+ years of experience in the health care industry, preferably in an auditing role
3+ years working with health care claims demonstrating expertise in, ICD-9/ICD-10 coding, HCPS/CPT-4 coding, and MS-DRG including medical billing experience for an Insurance Company or hospital Medical coding experience
WHAT WE OFFER:
Machinify offers a wide range of benefits to help support a healthy work/life balance. These benefits include medical, dental, vision, HSA/FSA options, life insurance coverage, 401(k) savings plans, family/parental leave, paid holidays, as well as paid time off annually. For more information about our benefits package, please refer to our benefits page on our website or discuss with your Talent Acquisition contact during an interview.
Physical Requirements & Additional Notices:
If working in a hybrid or fully remote setting, access to reliable, secure high-speed Internet at your home office location is required. Proof of such may be required prior to an offer being made. It is the Employee's responsibility to maintain this Internet access at their home office location.
The following is a general summary of the physical demands and requirements of an Office/Clerical/Professional or similar job, whether completed remotely at a home office or in a typical on-site professional office environment. This is not intended to be an exhaustive list of requirements, as physical demands of each individual job may vary.
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.
Machinify is a government contractor and subject to compliance with client contractual and regulatory requirements, including but not limited to, Drug Free Workplace, background requirements, and other clearances (as applicable). As such, the following requirements will or may apply to this position:
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 Machinify Teleworker Agreement upon hire and adhere to the Agreement and all related policies and procedures.
Other requirements may apply.
All employees and contractors for Machinify may and/or will have access to Sensitive, Proprietary, Confidential and/or Public data. As such, all employees and contractors will have ownership and responsibility to report any violations to the Confidentiality and Integrity of Sensitive, Proprietary, Confidential and/or Public data at all times. Violations to Machinify's policy related to the Confidentiality or Integrity of data may be subject to disciplinary actions up to and including termination.
Machinify is committed to the full inclusion of all qualified individuals. In keeping with our commitment, Machinify will take the steps to assure that people with disabilities are provided reasonable accommodations. Accordingly, if you believe a reasonable accommodation is required to fully participate in the job application or interview process, to perform the essential functions of the position, and/or to receive all other benefits and privileges of employment, please contact Machinify's Human Resources team to discuss further.
Our diversity makes Machinify unique and strengthens us as an organization to help us better serve our clients. Machinify is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, age, religion, gender, gender identity, sexual orientation, pregnancy, age, physical or mental disability, genetic characteristics, medical condition, marital status, citizenship status, military service status, political belief status, or any other consideration made unlawful by law.
THIRD PARTY RECRUITMENT AGENCY SUBMISSIONS ARE NOT ACCEPTED UNLESS EXPLICITY AGREED TO IN WRITING
$54.2k-67k yearly Auto-Apply 55d ago
Healthcare Collections Specialist
Firstsource Solutions 4.3
Remote job
Job Title: Healthcare Collections Specialist Schedule: M-F 8am to 9pm EST Role Description: The Healthcare Collections Specialist performs specialized collection work. This task is performed on behalf of clients to help in reducing their outstanding accounts receivables
Roles & Responsibilities
* Efficiently navigate multiple software systems while documenting current and confidential account information
* Maintain a confidential and organized remote work environment
* Assist in acquiring and updating debtors' contact information within client systems.
* Handle inbound calls from patients seeking assistance with payment on their outstanding medical/healthcare accounts, offering suggestions for resource acquisition or negotiating payment arrangements compliant with the healthcare provider's guidelines
* Initiate outbound calls to patients who have yet to establish payment or payment arrangements for resolving outstanding medical/healthcare bills, providing assistance and guidance on payment options
* Collaborate effectively in a virtual team environment to meet daily and monthly productivity goals, focusing on call volume and collection targets
* Operate within a virtual work setting, participating in weekly contests and incentives to maintain high motivation and engagement with patients to collect outstanding amounts
Commit to staying up-to-date with collection laws and company compliance requirements, ensuring adherence to the Fair Debt Collection Practices Act (FDCPA) while assisting patients
* Comply with federal laws governing collection practices
* Adhere to the company's established policies and procedures, as detailed in the Employee Handbook and the Employee Code of Conduct
* Demonstrate an understanding of and active participation in the Corporate Compliance Program
* Assist with additional projects as directed by management
Preferred Educational Qualifications
* High school diploma or equivalent is required
Preferred Work Experience
* Collection's experience is preferred
* 6 months customer service experience
Competencies & Skills
* Proficiency in engaging and communicating with patients, colleagues, and management, whether in physical or remote virtual chat settings
* Consistent demonstration of a courteous and professional demeanor
* Self-discipline to remain focused on tasks, even with minimal supervision
* Proactive and innovative approach to fulfilling job responsibilities
* Skillful prioritization of multiple tasks through effective time management and organizational abilities
* Strong PC proficiency, with a typing speed ranging from 30-40 words per minute
About Firstsource
Firstsource Solutions is a leading provider of customized Business Process Management (BPM) services. Firstsource specialises in helping customers stay ahead of the curve through transformational solutions to reimagine business processes and deliver increased efficiency, deeper insights, and superior outcomes.
We are trusted brand custodians and long-term partners to 100+ leading brands with presence in the US, UK, Philippines, India and Mexico. Our 'rightshore' delivery model offers solutions covering complete customer lifecycle across Healthcare, Telecommunications & Media and Banking, Financial Services & Insurance verticals.
Our clientele includes Fortune 500 and FTSE 100 companies
Zippia gives an in-depth look into the details of Hollis Cobb, including salaries, political affiliations, employee data, and more, in order to inform job seekers about Hollis Cobb. The employee data is based on information from people who have self-reported their past or current employments at Hollis Cobb. The data on this page is also based on data sources collected from public and open data sources on the Internet and other locations, as well as proprietary data we licensed from other companies. Sources of data may include, but are not limited to, the BLS, company filings, estimates based on those filings, H1B filings, and other public and private datasets. While we have made attempts to ensure that the information displayed are correct, Zippia is not responsible for any errors or omissions or for the results obtained from the use of this information. None of the information on this page has been provided or approved by Hollis Cobb. The data presented on this page does not represent the view of Hollis Cobb and its employees or that of Zippia.
Hollis Cobb may also be known as or be related to Hollis Cobb, Hollis Cobb Associates, Hollis Cobb Associates Inc and Hollis Cobb Associates, Inc.