[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