Performant Corporation is an Equal Opportunity Employer (Minorities/Females/Disabled/Veterans).

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Healthcare Operations Support Specialist (SCA)
Job Code:2022-50-HUB-018
Location:United States - Remote (multiple locations)
Status:Regular Full Time
  
Responsibilities:
The Healthcare Operations Support Specialist is assigned re-pricing, email and report monitoring for clients and is responsible for ensuring appropriate action is taken.  This position supports short and long term operational/strategic business initiatives, working closely with the business units and the audit teams as well as other team members to ensure on time deliverable's.
  • Monitors internal and external reports and take specific actions based on the information
  • Responds to client correspondence and email request for information
  • Maintains provider information
  • Re-prices claims using client contracts and systems
  • Creates, documents, and modifies processes for new and existing clients as needed
  • Participates in special ad hoc projects and program initiatives as assigned
  • Contributes to team effort by completing assigned projects on time
  • Receives feedback and adjusts work priority as necessary
  • Performs other duties as assigned
Required Skills and Knowledge:
       
  • Outstanding written and verbal communication skills
  • Good critical thinking, questioning, and listening skills; excellent attention to detail
  • Problem-solving and task management skills
  • Time management skills for managing multiple tasks simultaneously, while completing work within allocated time frames
  • Ability to handle changing situations and work within a diverse group
  • Strong Microsoft Office suite knowledge
  • Ability to work independently but also as a member of a team.
  • Ability to meet objectives with minimal supervision
  • Strong technical skills is desired
  • Ability to work effectively with diverse teams is desired
     

Additional Requirements:

•Ability to obtain and maintain client requiredclearances as well as pass company regular background and/or drug screening.

•Completion of Teleworker Agreement upon hire, andadherence to the Agreement (and related policies and procedures) including, butnot limited to: able to navigate computer and phone systems as a user to workremote independently using on-line resources, must have high-speed internetconnectivity, appropriate workspace able to be compliant with HIPAA, safety& ergonomics, confidentiality, and dedicated work focus withoutdistractions during work hours.

 

Physical Requirements:

Available for hire Teleworking in the following area locations:  Florida (Sunrise/BrowardCounty), Texas (San Antonio and San Angelo), and Lathrop California (San Joaquin County).  

**NOTE: Must be able to meet requirements for andperform work assignments in accordance with Company policies and expectationson a home remote basis (and must meet Performant remote-worker requirements)until at which time staff may be notified and required to work from aPerformant office location on an ad-hoc or periodic basis.

Basic office equipment required to perform remote workis provided by the company.

•Job is performed in a standard busy office environmentwith moderate noise level (or may be home-office setting subject to Companyapproval and Teleworker Agreement), sits at a desk during scheduled shift, usesoffice phone or headset provided by the Company for calls, making outboundcalls and answering inbound return calls using an office phone system; views acomputer monitor, types on a keyboard and uses a mouse.

•Reads and comprehends information in electronic(computer) or paper form (written/printed).

•Sit/stand 8 or more hours per day; has the option tostand as needed while on calls; reach as needed to use office equipment.

•Consistently viewing a computer screen and typesfrequently, but not constantly, using a keyboard to update accounts.

•Consistently communicates on the phone as requiredprimarily within the department and company and may include client contacts orother third-party depending on assignment with account holders, may dialmanually when need or use dialer system; headset is also provided.

•Occasionally lift/carry/push/pull up to 10lbs.

 

Education and Experience:

  • High School Diploma/GED or equivalent work experience
  • Some college preferred
  • Health care data analysis experience including gathering and documenting requirements for projects of all sizes a plus
  • Experience using Microsoft Excel and other Microsoft Office applications


Other Requirements:

 Performant is a Government contractor and subject tocompliance with client contractual and regulatory requirements, including butnot limited to, Drug Free Workplace, background requirements, and clearances(as applicable).

•Must submit to and pass pre-hire background check, aswell as additional checks throughout employment.

•Must be able to pass a criminal background check; mustnot have any felony convictions or specific misdemeanors, nor on state/federaldebarment or exclusion lists.

•Must submit to and pass drug screen pre-employment (andthroughout employment).

•Performant is a government contractor. Certain clientassignments for this position requires submission to and successful outcome ofadditional background and/or clearances throughout employment with the Company.

 

Employment VISA Sponsorship is not available for thisposition

 

Job Profile is subject to change at any time.

 

EEO

Performant Financial Corporation is an Equal OpportunityEmployer.

Performant Financial Corporation is committed tocreating a diverse environment and is proud to be an equal opportunityemployer. All qualified applicants will receive consideration for employmentwithout regard to race, color, national origin, ancestry, age, religion,gender, gender identity, sexual orientation, pregnancy, age, physical or mentaldisability, genetic characteristics, medical condition, marital status,citizenship status, military service status, political belief status, or anyother consideration made unlawful by law.

 

NO AGENCY SUBMISSIONS WITHOUT PERFORMANT AUTHORIZEDAGENCY AGREEMENT AND APPROVED PERFORMANT JOB ORDER5.