Supervisor, HCS Specialty Recovery

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. The Healthcare Specialty Recovery Supervisor is a highly skilled, talented medical billing, revenue specialist with a strong knowledge of medical claims billing and recovery. Must have a vast knowledge in Medicare regulations, medical terminology, medical coding, forms UB04 and CMS 1500. Strong Medicare procedural background, familiarity with procedural challenge regulations. Experience in data mining, auditing, and concept development; the ability to gather and interpret explanation of benefits (EOB) and Provider feedback to answer questions and assist recovery teams with Provider and Network communications. They will play a key role in continual improvement of recovery processes, procedures, and staff development. They will leverage their expertise in Medical billing, recovery,...