Note: The job is a remote job and is open to candidates in USA. Machinify is a healthcare intelligence company that provides AI-powered payment solutions and expertise to health plan clients. The Claims Administrator supports claims processing by reviewing and organizing incoming claims, validating data, reconciling balances, routing files, and maintaining accurate documentation. The role also involves analyzing trends, monitoring file transfers and volumes, addressing discrepancies, and performing data entry and administrative tasks.
Responsibilities
- 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
Skills
- 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
- Preferred experience in medical record review and knowledge of medical terminology
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
Company Overview