
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.
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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.
• Monitoring staff and daily recovery efforts. • Responsible for driving recovery team’s daily productivity, ensuring team is adhering to goals and SLAs. • Program outreach as required, working with Providers and Networks as needed at the request of team members and Management. • Effectively collaborates with Management and teams to ensure departmental needs are met. • Communicates with team to ensure all production goals are clear, understandable, and achievable. • Work with Leadership to set production goals as needed to meet department expectations. • Provides feedback coaching and training to team members as required by management. • Occasional assistance with Audit Concept development and claims review. • Works with Healthcare Service’s leadership to ensure assigned areas are staffed appropriately to achieve recovery goals. • Assist in development and revision of team training materials as needed. • Contribute to development or enhancement or operational and recovery procedures, policies, and tools. • Advises Leadership of operational training gaps, staff development issues and other observation and areas or opportunity that may involve training. • Perform other duties as assigned.
• High School Diploma or GED required. • Bachelor’s degree in relevant field or equivalent combination of education and experience. • 3 + years of Revenue cycle or Recovery experience. • 3+ years in a Healthcare claims or revenue cycle management environment. • 2+ years supervisory experience in fast paced production or call center environment. • Some college or training in medical terminology, billing, coding, or medical billing/Coding certificate. • Extensive experience with provider outreach and communication.
• Work from anywhere in the US! Machinify is digital-first. • Top Medical/Dental/Vision offerings • FSA/HSA • Tuition reimbursement • Competitive salary, 401(k) with company match • Additional health and wellness benefits and perks • Flexible and trusting environment where you’ll feel empowered to do your best work
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