Claims Coordinator

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $15 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

📋 Claims Specialist

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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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

• Monitor incoming claim notifications and ensure all required documents are complete and legible • Verify required submission documents are present and legible • Perform initial claim setup, accurately enter data, and assign correct claim statuses • Perform initial analysis of client-submitted claims, EOBs, bills, policies, correspondence, and other documents • Combine and extract claim documents when needed • Copy combined files and rename them according to policy and procedures • Enter UB04 data information for analysts • Transfer claim documents to Document Management and IBR departments • Create appeal letters and return them to clients • Analyze client-provided coversheets for correct reimbursement • Adjust the system to reflect correct reimbursement and savings • Escalate problematic claims to the Lead of Claim Processing • Notify the Lead of Claim Coordinator when documents are missing or illegible • Maintain compliance with HIPAA and other security requirements • Perform other duties as assigned

🎯 Requirements

• Minimum typing speed of 40 WPM • Strong data entry skills with a high degree of accuracy • Intermediate to advanced computer proficiency, including Microsoft Office Suite and Adobe Acrobat • Ability to work across multiple monitors • Ability to quickly learn company-specific software • Exceptional attention to detail • Strong organizational, analytical, and critical thinking skills • Strong interpersonal and team-building skills • Ability to collaborate across a diverse team and drive change across functional and business boundaries

🏖️ Benefits

• PTO, Paid Holidays, and Volunteer Days • Eligibility for health, vision and dental coverage • 401(k) plan participation with company match • Flexible spending accounts • Tuition Reimbursement • Company-paid life insurance • Company-paid short-term disability • Company-paid parental leave • Remote and hybrid work options