Pharmacy Validation Specialist

Socket.dev; United States; Hybrid; USD 26,000 - 34,000; Full time

Benefits offered by this job

PTO

Health, vision and dental coverage

401(k) plan participation with company

Tuition Reimbursement

Life insurance

Short-term disability

Parental leave

Remote and hybrid work options

Job summary

Machinify is a leading healthcare intelligence company focused on improving outcomes across the payment continuum. In this role you will verify insurance eligibility, document data accurately, and support daily production quotas while delivering excellent customer service.

You will work with multiple systems, collaborate with teammates, and grow with a company committed to equal opportunity and flexible work options.

Qualifications

• High School diploma or GED required.
• Excellent oral and written communication skills.
• Ability to work independently or in a team.
• Very strong attention to detail and organizational skills.
• Word and Excel proficiency required.

Responsibilities

• 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.

Skills

Excellent communication skills

Independent and team worker

Attention to detail

Organizational skills

Education

High School diploma / GED

Tools

Word

Excel

Job description

About the Opportunity

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.

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.

What experience you bring (Role Requirements)

• 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.

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

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

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

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: https://www.machinify.com/candidate-privacy-notice/