[Remote] Claims Administrator I
Note: The job is a remote job and is open to candidates in USA. Machinify is a leading healthcare intelligence company focused on delivering value and efficiency to health plans. The Claims Administrator I will support efficient claims processing, ensure data accuracy, and collaborate with internal teams to manage claims effectively.
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
- Preferred experience in medical record review and knowledge of medical terminology
- 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
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
Company H1B Sponsorship