Claims Coordinator
La Grange, KY · HybridFull-time$15/hrSeen 2w agoSeen in employer's feed 3 days ago
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Job overview
Machinify, a healthcare intelligence company, seeks a Claims Coordinator to accurately process healthcare claims, verify documentation, enter data, create appeal letters, and maintain HIPAA compliance while supporting a smooth claims review process.
Skills & qualifications
Skills
Qualifications
Benefits
Full job description
Experience Required
None
Minimum Education Required
High School Diploma/G.E.D.
Compensation
$7.25 / hourly
Hours Per Week
40
Number Of Positions
1
Work Schedule and Shift Requirements
First (Day)
Job Description
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.
About the Opportunity
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 Claims Coordinator handles the accurate and timely processing of healthcare claims. This role reviews notifications, checks documents for completeness, sets up claims in the system, and routes them to the right departments. The coordinator escalates problem claims, communicates missing information, and follows HIPAA and security standards to support a smooth claims review process.
What you'll do
Monitor incoming claim notifications and ensure all required documents are complete and legible.
Verifying all required submission documents are present and legible.
Perform initial claim setup, accurately enter data, and assign correct claim statuses.
Perform initial analysis of data and documents submitted by the client such as claims, EOBs, bills, policies, correspondence, etc.
Combine and Extract claim documents when needed.
Copy combined file and rename according to policy and procedures.
Enter UB04 data information for analyst.
Transfer claim documents to Document Management and IBR departments.
Create appeal letters and return to client.
Analyzes the client provided coversheet for correct reimbursement.
Adjust system to reflect the correct reimbursement and savings.
Escalate claims with problems to Lead of claim processing.
Notify Lead of Claim Coordinator when documents are missing or illegible.
Maintain compliance with HIPAA and other security requirements.
Performs other duties as assigned.
What experience you bring (Role Requirements)
Minimum typing speed of 40 WPM
Strong data entry skills with a high degree of accuracy
Intermediate to advanced computer proficiency, including Microsoft Office Suite, Adobe Acrobat, working across multiple monitors, and the ability to quickly learn company-specific software
Exceptional attention to detail, with strong organizational, analytical, and critical thinking skills
Strong interpersonal and team-building skills, with the ability to collaborate across a diverse team and drive change across functional and business boundaries
Pay range: This is a non-exempt position at $15.00/hour.
What's in it for you
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
What values we'll share with you
Ask why
Think big
Be humble
Optimize for customer impact
Deliver results
Equal Employment Opportunity at Machinify
We are committed to equal employment opportunity regardless of r ace, color, ancestry, r eligion, s ex, national origin, s exual orientation, age, citizenship, marital status, disability, gender, gender identity or expression, or veteran status. We are proud to be an equal opportunity workplace. Machinify is an employment at will employer. We participate in E-Verify as required by applicable law. In accordance with applicable state laws, we do not inquire about salary history during the recruitment process. If you require a reasonable accommodation to complete any part of the application or recruitment process, please let our recruiters know. See our Candidate Privacy Notice at:https://www.machinify.com/candidate-privacy-notice/
Equal Opportunity Employer
Veteran Friendly Employer
Job Type
Full time
Benefits Offered
Not specified
Veteran Preference
No
Place of Work
On-site
Requisition ID
4411140009
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