Pharmacy Validation Specialist
Pharmacy Validation Specialist
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Job Description
Job Details
Job Summary
Who We Are
Machinify is a leading healthcare intelligence company with expertise across the payment continuum delivering unmatched value transparency and efficiency to health plan clients across the country. Deployed by over 60 health plans including many of the top 20 and representing more than 160 million lives Machinify brings together a fully configurable and content-rich AI-powered platform along with best-in-class expertise. Were constantly reimagining whats possible in our industry creating disruptively simple powerfully clear ways to maximize financial outcomes and drive down healthcare costs.
Location: This position will be hybrid (on-site training) with opportunity to work full remote after training as well as in our La Grange KY office.
About the Opportunity
At Machinify were constantly reimagining whats possible in our industrycreating disruptively simple powerfully clear ways to maximize our clients financial outcomes today and drive down healthcare costs tomorrow. As part of the Pharmacy team you will aid 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 youll 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.
What experience you bring (Role Requirements)
- High School diploma GED or equivalent combination of education. 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.
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.
Youve gained confidence in your abilities and are starting to feel more comfortable in your role.
After 1 year
You have mastered the tasks and responsibilities of the position executing them with confidence and efficiency.
You have established a strong network of internal relationships and are recognized as a key collaborator.
Youve been entrusted with greater responsibility indicating the companys confidence in your abilities.
You see opportunities for career progression and personal development.
Pay range: This is a non-exempt position at $22.00/hour.
Whats in it for you
- PTO Paid Holidays and Volunteer Days
- Eligibility for health vision and dental coverage 401(k) plan participation with company match and flexible spending accounts
- Tuition Reimbursement
- Eligibility for company-paid benefits including life insurance short-term disability and parental leave.
- Remote and hybrid work options
At Machinify were reimagining a simpler way forward. This begins with our employees. We are innovators who value integrity teamwork accuracy and flexibility. We do the right thing and we listen to the needs of our clients and their members. As tenured experts with unmatched experience we champion diverse perspectives that help us to better understand and serve our clients.
Our values come to life through our culture. We embrace flexible working arrangements that allow our employees to bring innovation to life in the way that best suits their productivity. We work cross-functionally abandoning silos to bring innovative and accurate solutions to market. We invest in each other through ongoing education and team celebrations and we give back to our communities through dedicating days for volunteering. Together Machinify is making healthcare work better for everyone and were passionate about a future with better outcomes for all.
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 accordance with applicable state laws we do not inquire about salary history during the recruitment process. If you require a reasonable accommodation to complete any part of the application or recruitment process please contact our People Operations team at. See our Candidate Privacy Notice at:
Required Experience:
Unclear Seniority
Employment Type
Full-Time
Department / Functional Area
Key Skills
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