Subrogation Research and Creation Specialist

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. 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.

Location: This position is full remote and working hours are 11am - 8pm EST.

About the Opportunity

At Machinify, we're constantly reimagining what's possible in our industry-creating disruptively simple, powerfully clear ways to maximize our clients' financial outcomes today and drive down healthcare costs tomorrow. As part of the Data Mining Group, the Research and Creation Team Specialist (RCT) is an integral part of a dynamic team, supporting and facilitating the recovery of healthcare payments. RCT Specialists handle inbound calls, initiating new files, and identifying potential Subrogation claims. This role requires strong communication, analytical thinking, and attention to detail to ensure accurate file setup, effective documentation, and early recognition of recovery potential.

What you'll do

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  Answer inbound ACD call line and provide prompt, professional customer service to members and insurance companies.

  
  
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  Create new claim files with accurate and complete information.

  
  
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  Regularly accesses client systems to gather information used to create inventory.

  
  
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  Uses multiple computer systems to review claim data and work efficiently.

  
  

What experience you bring (Role Requirements)

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  High School diploma, GED, or equivalent combination of education and experience in the health insurance, legal, property and casualty or related fields is preferred.

  
  
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  Professional communication skills.

  
  
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  Strong analytical skills, attention to detail and ability to adapt to new tasks

  
  
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  Strong organizational skills

  
  
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  Excellent written and verbal communication skills

  
  
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  Word and Excel proficiency 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:This is a non-exempt position at $25.00/hour.

What's in it for you

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  PTO, Paid Holidays, and Volunteer Days

  
  
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  Eligibility for health, vision and dental coverage, 401(k) plan participation with company match, and flexible spending accounts

  
  
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  Tuition Reimbursement

  
  
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  Eligibility for company-paid benefits including life insurance, short-term disability, and parental leave.

  
  
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  Remote and hybrid work options

  
  

At Machinify, we're 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 we're 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 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 contact our People Operations team atmachinify_careers@machinify.com. See our Candidate Privacy Notice at:https://www.machinify.com/candidate-privacy-notice/