Claims Coordinator

Claims Coordinator

Who We Are

Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched value, transparency, and efficiency to health plans. Deployed by over 75 health plans, including many of the top 20, and representing more than 170 million lives, Machinify's AI operating system, combined with proven expertise, untangles healthcare data to deliver industry-leading speed, quality, and accuracy. We're reshaping healthcare payment through seamless intelligence.

Location : This role is full remote

About the Opportunity

At Machinify, we're constantly reimagining what's possible in our industrycreating disruptively simple, powerfully clear ways to maximize our clients' financial outcomes today and drive down healthcare costs tomorrow. As part of the Complex Payment Solutions team, you will, as a Claims Coordinator, play a vital role in supporting the claims lifecycle, reporting directly to the Manager of Claims Coordination. This position is responsible for accurately entering claims into the proprietary software system, facilitating seamless submission to the Transcription Department, and ensuring the efficient flow of claims processing.

You will also manage the preliminary setup for Claims Analysts, providing the critical groundwork needed for accurate and timely claim analysis. Your attention to detail and organizational skills will contribute to the overall efficiency and success of the claims process, making you an essential member of the operations team.

What You'll Do

• Monitor incoming claim notifications and ensure all required documents are complete and legible.
• Notify the Lead Claims Coordinator of missing or illegible documents and escalate problematic claims as needed.
• Perform initial claim setup, accurately enter data, and assign correct claim statuses.
• Transfer claim documents to the Transcription Department and notify management of re-bills.
• Conduct preliminary analysis of client-submitted data, including claims, EOBs, bills, and policies.
• Complete and submit request forms for additional information to the Senior Claims Analyst.
• Organize, combine, and rename claim documents according to procedures.
• Ensure compliance with HIPAA and all security protocols.
• Proactively handle additional responsibilities as assigned.

What Experience You Bring (Role Requirements)

Typing speed of at least 40 WPM.

Proficient in Adobe and Microsoft Office Suite, including Adobe Acrobat.

High accuracy in data entry and strong attention to detail.

Ability to follow procedures precisely.

Experience using multiple monitors and adapting to company-specific software.

Strong interpersonal and team collaboration skills, with the ability to drive change across functions.

What Success Looks Like

After 3 months

You will have a strong understanding of the role.

You begin building relationships and collaborating with peers.

You develop effective time and priorities management.

You receive initial feedback about your performance and are using it to improve.

You've gained confidence in your abilities and are starting to feel more comfortable in your role.

After 1 year

You have mastered the tasks and responsibilities of the position, executing them with confidence and efficiency.

You have established a strong network of internal relationships and are recognized as a key collaborator.

You've been entrusted with greater responsibility indicating the company's confidence in your abilities.

You see opportunities for career progression and personal development.

Pay range : $15.00 per hour USD

This is a non-exempt position.

What's in it for You

What Values We'll Share With You

At Machinify, we're reimagining a simpler way forward. This begins with our employees. We are innovators who value integrity, teamwork, accuracy, and flexibility. We do the right thing, and we listen to the needs of our clients and their members. As tenured experts with unmatched experience, we champion diverse perspectives that help us to better understand and serve our clients.

Our values come to life through our culture. We embrace flexible working arrangements that allow our employees to bring innovation to life in the way that best suits their productivity. We work cross-functionally, abandoning silos, to bring innovative and accurate solutions to market. We invest in each other through ongoing education and team celebrations, and we give back to our communities through dedicating days for volunteering. Together, Machinify is making healthcare work better for everyone, and we're passionate about a future with better outcomes for all.