[Hiring] Pharmacy Validation Specialist @Machinify

Role Description

A Payment Integrity Validation Specialist is an integral part of a dynamic team, aiding in the facilitation of coordination of benefits. Validation Specialists utilize access to insurance eligibility and claims payment information as well as outreach to insurance carriers to ensure member records are accurate. This role builds a foundation of knowledge that supports future advancement.

What you’ll do

• Verifies medical insurance eligibility data.
• Accurately documents data gathered.
• Meets daily production quotas.
• Follows specific timeframes to complete tasks.
• Uses multiple computer systems to work efficiently.
• Provides excellent customer service.

Qualifications

• High School diploma, GED, or equivalent combination of experience.
• Experience with health insurance is preferred, but not required.
• Excellent oral and written communication skills, including on the phone, are required.
• Ability to work well independently or in a team environment.
• Very strong attention to detail and organizational skills.
• Word and Excel proficiency required.
• Experience in the healthcare field is helpful, but not required.

Requirements

What Success Looks Like…

After 3 months

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

After 1 year

• You have mastered the tasks and responsibilities of the position, executing them with confidence and efficiency.
• You have established a strong network of internal relationships and are recognized as a key collaborator.
• You’ve been entrusted with greater responsibility indicating the company’s confidence in your abilities.
• You see opportunities for career progression and personal development.

Benefits

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

Pay range

$22.00/hour. This is a non-exempt position.

Equal Employment Opportunity at Machinify

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