
1001 - 5000 employees
⚕️ Healthcare Insurance
🤖 Artificial Intelligence
☁️ SaaS
💰 $10M Series A - Machinify on 2018-10
Healthcare Insurance • Artificial Intelligence • SaaS
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.
🔥 4 minutes ago
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1001 - 5000 employees
⚕️ Healthcare Insurance
🤖 Artificial Intelligence
☁️ SaaS
💰 $10M Series A - Machinify on 2018-10
Healthcare Insurance • Artificial Intelligence • SaaS
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.
• Retrieve medical records through outbound provider calls, portals, fax, and email. • Accurately document call outcomes, follow-up activities, and record statuses within system platforms. • Support call center workflows by contacting providers, verifying information, and managing escalations to ensure timely retrieval. • Perform data entry and tracking of medical record documentation in compliance with HIPAA and internal standards. • Use EMR systems, internal databases, and vendor tools to monitor record status and ensure record completeness. • Escalate delays, provider refusals, or system issues to leadership or appropriate departments. • Assist in maintaining SOPs, documentation logs, and operational checklists. • Participate in User Acceptance Testing (UAT) and system feedback efforts as directed. • Ensure records are properly categorized and attached to the correct case/claim. • Collaborate with cross-functional teams such as IT, Client Services, and Quality Assurance to troubleshoot issues. • Maintain professional communication with provider offices and internal teams.
• 1-3 years of experience in healthcare, medical records, or call center environment. • Deep understanding of HIPAA, PHI handling, and medical record workflows. • Working knowledge in healthcare technology platforms and reporting tools (e.g., EMRs, call center software, Excel). • Clear and professional verbal and written communication skills. • Ability to work independently, multitask and manage time efficiently in a fast-paced setting. • Strong problem-solving and critical thinking skills; ability to identify issues in real time and follow through with solutions or appropriate escalation. • Willingness to learn and adapt to new systems and processes.
• 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
Apply Now🔥 4 minutes ago
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