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AI Summary
Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched value, transparency, and efficiency to health plan clients across the country. Deployed by over 85 health plans, including many of the top 20, and representing more than 270 million lives, Machinify brings together a fully configurable and content-rich, AI-powered platform along with best-in-class expertise. We’re constantly reimagining what’s possible in our industry, creating disruptively simple, powerfully clear ways to maximize financial outcomes and drive down healthcare costs.
Who We Are
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
The Subrogation Analyst- LRU investigates multiple sources of health insurance data to identify possible accidents and/or physical injuries. Our detailed processes determine responsibility for medical and pharmacy claims allowing Machinify to represent our clients in recovering funds from at fault parties. They specialize in the most complex liability cases which require expert knowledge of state law, LOB preemption and negotiation strategies to maximize recoveries for the company.
What you’ll do
- Investigates and determines whether medical insurance claims are recoverable or non-recoverable from a liable third party.
- Communicates and negotiates with healthcare plan members, insurance adjusters, and attorneys.
- Utilizes computer systems to accurately document collected information.
- Applies organizational, analytical, and time management skills to manage daily workflow.
- Reviews and understands healthcare contracts.
- Creates medical expense spreadsheets and processes payments from recoveries.
What experience you bring (Role Requirements)
- Associate or bachelor’s degree preferred, or equivalent skills and experience.
- Litigation, Paralegal and Subrogation experience preferred
- Excellent customer service skills.
- Proficient with multi-tasking and time management.
- Very strong written and verbal communication skills.
What Success Looks Like…
After 3 months
- You will have a strong understanding of the role.
- You begin building relationships and collaborating with peers.
- You develop effective time and priorities management.
- You receive initial feedback about your performance and are using it to improve.
- You’ve gained confidence in your abilities and are starting to feel more comfortable in your role.
After 1 year
- You have mastered the tasks and responsibilities of the position, executing them with confidence and efficiency.
- You have established a strong network of internal relationships and are recognized as a key collaborator.
- You’ve been entrusted with greater responsibility indicating the company’s confidence in your abilities.
- You see opportunities for career progression and personal development.
Pay range: This is an exempt position at $55,000 annual salary with significant monthly bonus opportunity.
What’s 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
What values we’ll share with you
- Ask why
- Think big
- Be humble
- Optimize for customer impact
- Deliver results
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