Claims Administrator

🕒 July 6

🇺🇸 United States – Remote

💵 $24 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

📋 Claims Specialist

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Machinify

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🏥 Healthcare

💼 Consulting

📦 Logistics

💰 $10M Series A - Machinify on 2018-10

Healthcare • Consulting • Logistics

Machinify is a healthcare-focused AI platform and services company that reshapes healthcare payments and payment integrity. Its AI operating system unifies claims, medical records, contracts, and policies, and uses foundation models and task-specific agents to automate and improve coding, payment accuracy, recoveries, and cost avoidance. Machinify serves health plans (including 18 of the top 20), supports insourced, hybrid, or fully-managed deployments, and emphasizes measurable outcomes — reporting 85+ customers, 270M member lives covered, and $6B+ in annual cost avoidance and recoveries.

📋 Description

• Review incoming claims, assign statuses, organize data, and route files to auditors. • Collaborate with teams to manage the import queue, reconcile balances, validate charges, correct errors, and route files. • Oversee file intake and output, addressing inquiries, discrepancies, and errors. • Analyze data trends and communicate updates on claims routing, efficiency, inventory, and volume. • Monitor file-sharing processes, ensure data transfer accuracy, and maintain appropriate volume levels. • Perform data entry and support additional administrative tasks as needed.

🎯 Requirements

• Preferred experience in medical record review and knowledge of medical terminology. • Proficient in Microsoft Office Suite, Adobe Acrobat, and multi-monitor setups; adaptable to company-specific software. • Strong attention to detail, organizational, analytical, and critical thinking skills. • Excellent interpersonal and teamwork abilities, capable of collaborating across functions and driving change.

🏖️ Benefits

• 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