Healthcare Operations Support Specialist (Sca)

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

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Healthcare Operations Support Specialist (SCA)

Job Code: 2023-53-HUB-003

Location: United States - Remote (multiple locations)

Status: Regular Full Time

Pay Range: 19.00-21.00

Responsibilities

The Healthcare Operations Support Specialist (SCA) (Must live in one of the listed counties Broward, FL, Tom Green, TX, Stanislaus, CA, Philadelphia, PA, and San Joaquin, CA) 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
• Creates, documents, and modifies processes for new and existing clients as needed
• Receives feedback and adjusts work priority as necessary
• Note - All employees and contractors for Performant Financial 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 Performant’s policy related to the Confidentiality or Integrity of data may be subject to disciplinary actions up to and including termination.
• Participates in special ad hoc projects and program initiatives as assigned
• Performs other duties as assigned
• Contributes to team effort by completing assigned projects on time
• Maintains provider information
• Re-prices claims using client contracts and systems

Required Skills And Knowledge

• Strong Microsoft Office suite knowledge
• Problem-solving and task management skills
• Ability to work independently but also as a member of a team.
• Ability to work effectively with diverse teams is desired
• Ability to meet objectives with minimal supervision
• Outstanding written and verbal communication skills
• Time management skills for managing multiple tasks simultaneously, while completing work within allocated time frames
• Strong technical skills is desired
• Ability to handle changing situations and work within a diverse group
• Good critical thinking, questioning, and listening skills; excellent attention to detail

Additional Requirements

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

Physical Requirements

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

• Consistently viewing a computer screen and types frequently, but not constantly, using a keyboard to update accounts.
• Sit/stand 8 or more hours per day; has the option to stand as needed while on calls; reach as needed to use office equipment.
• Occasionally lift/carry/push/pull up to 10lbs.
• Job is performed in a standard busy office environment with moderate noise level (or may be home-office setting subject to Company approval and Teleworker Agreement), sits at a desk during scheduled shift, uses office phone or headset provided by the Company for 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 mouse.
• Reads and comprehends information in electronic (computer) or paper form (written/printed).
• Consistently communicates on the phone as required primarily within the department and company and may include client contacts or other third-party depending on assignment with account holders, may dial manually when need or use dialer system; headset is also provided.

Education And Experience

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

Other Requirements

Performant 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 clearances (as applicable).

• Applicants must have reliable, secure, high speed Internet access at their home office location.
• Must be able to pass a criminal background check; must not have any felony convictions or specific misdemeanors, nor on state/federal debarment or exclusion lists.
• Must submit to and pass drug screen pre-employment (and throughout employment).
• Must submit to and pass pre-hire background check, as well as additional checks throughout employment.
• Performant is a government contractor. Certain client assignments for this position requires submission to and successful outcome of additional background and/or clearances throughout employment with the Company.

Visa sponsorship is not available.

Job Profile is subject to change at any time.

EEO

Performant Financial Corporation is an Equal Opportunity Employer.

Performant Financial Corporation 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.

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