Backed by Battery and GV.
About the 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.
What they're looking for
- Strong knowledge and substantial experience with healthcare, medical terminology, and medical coding, preferably in a role generating, auditing, recovering and/or researching the same
- Demonstrated expertise and experience with Coordination of Benefits, Third Party Liability and Accounts Receivable specifically relevant to the line of business
- Proven strength gathering and interpreting 277 rejections or Explanation of Benefits to answer questions and resolve claim issues
- High degree of critical thinking and analytical accuracy required
- Ability to communicate professionally and effectively with carriers and other audiences regarding claims and Coordination of Benefits (COB)
- Strong investigative skills, with proven ability to gather and interpret 277 Rejections and Explanation of Benefits (EOB) and answer questions and resolve standard as well as complex issues with payments
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.
At Machinify, we’re constantly reimagining what’s possible in our industry, creating disruptively simple, powerfully clear ways to maximize our clients’ financial outcomes today and drive down healthcare costs tomorrow. The Sr. Healthcare Reclamation Analyst reviews and analyzes large volumes of client data and payer correspondence, investigates coverage to determine eligibility and primacy, and gathers and interprets 277 rejections and explanations of benefits as well as payer feedback to recover funds for clients who have paid in error. Additionally, the senior role leverages...
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