Machinify offers AI-powered healthcare payment integrity solutions to enhance claims accuracy, recovery performance, and cost control. Backed by Battery and GV.
About the role
The ideal person for this role has a strong background in healthcare claims auditing, claims processing and coding, and a high level of understanding of payment guidelines for CMS and commercial payers. Found on 1752vc Careers, the job board for startup and VC roles.
What they're looking for
- 3-5 years of relative experience
- Ability to review payment information against Medicare and payer billing guidelines to make determinations relating to the appropriateness of payments
- Experience or certification in coding/billing is helpful
- Ability to meet deadlines
- Willingness and ability to do whatever is necessary to accomplish workload demands
- Delivery of high-quality work is critical
More about this role
Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched value, transparency, and efficiency to health plan clients across the country. Deployed by over 85 health plans, including many of the top 20, and representing more than 270 million lives, Machinify brings together a fully configurable and content-rich, AI-powered platform along with best-in-class expertise. We’re constantly reimagining what’s possible in our industry, creating disruptively simple, powerfully clear ways to maximize financial outcomes and drive down healthcare costs.
Machinify is seeking an Auditor for pre and/or post pay data mining to conduct claims audits on behalf of Machinify’s customers. In addition, the Auditor will assist in product testing, quality enhancements, and related tasks to ensure customer satisfaction.
The ideal person for this role has a strong background in healthcare claims auditing, claims processing and coding, and a high level of understanding of payment guidelines for CMS and commercial payers.
- Conduct comprehensive reviews of pre and post pay claims using any and all available resources, including but not limited to,...
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