Subrogation Analyst - Liability Recovery Unit (LRU)

Job Summary

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 role is full remote. Training will be remote and will also provide in person training for candidates who are local and prefer onsite training.

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 Subrogation team, 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 The Rawlings Group 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.
• Excellent customer service skills.
• Proficient with multi-tasking and time management.
• Very strong written and verbal communication skills.
• Proficient in Microsoft Word, Excel, and Outlook.
• Professional experience in insurance, legal, mortgage lending, customer service, or related field is preferred.

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: $55,000 with bonus opportunity.  This is an 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

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, 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.

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