Machinify

Machinify

Sr. Healthcare Reclamation Analyst

US · Senior

Sponsorship not specified$52k-$58kDetected 29 days ago
Data AnalysisComplianceOutbound SalesExcelAuditingCustomer SupportHIPAAICD-10ResearchCommunicationCritical ThinkingMentoringAccounts Payable

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odds of building a lasting career here

39Risky
Cap-exempt (no lottery)0
Sponsors this role90
Entry-level history0
PERM / green-card track0
Lottery odds (Level I)39
Fits your clock70

Thin sponsorship signal and lottery-bound (~15% per draw). A low-probability bet with your clock running. Prioritize cap-exempt roles and proven entry-level sponsors first.

Lottery odds assume a STEM candidate.

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Employer immigration record

from this employer's Department of Labor filings

Files H-1B transfers

17 transfer filings in the last year, covering 17 workers. Median labor-condition decision: 7 days. An employer that already files transfers is one that can take over an existing H-1B.

Sourced from Department of Labor LCA, PERM and prevailing-wage disclosure data. Employer matching is by name, so figures may be split across an employer's legal entities. Absence of a filing means none appears in our copy of the data, not that none exists.

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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.
  • Machinify is an employment at will employer.
  • In accordance with applicable state laws, we do not inquire about salary history during the recruitment process.

Responsibilities

  • Actively collaborate with internal groups and/or functions with interpretation of the claims billing process and denial management for continuous improvement in workflow and systems.
  • Effectively works assigned inventories to consistently exceed productivity metrics assigned by management, while also performing other duties of the senior analyst role that support the broader group.
  • Supports management with inventory assessment and distribution to team members.
  • Leads and contributes to ad-hoc projects and initiatives and establishing best practices.
  • Consistently maintains regular good attendance, demonstrates professionalism, sound judgment, and good decision making.
  • Performs other duties as assigned.

Requirements

  • High degree of critical thinking and analytical accuracy required
  • ability to listen, be succinct and demonstrate positive customer service attitude
  • We participate in E-Verify as required by applicable law.
  • college preferred: equivalent combination of education and related experience.
  • Minimum 4 years of directly related progressive experience (billing reclamation, recovery, denial management, etc.), including Coordination of Benefits, Third Party Liability, and/or Reclamation, demonstrating depth and breadth of knowledge and capability required for the position.
  • Minimum 1 year of experience in a function demonstrating the ability to lead or make strong contributions to initiatives involving operations workflow, data reporting and analysis, contributing to the set-up of new clients or programs, or subject matter expertise applied to department workflows or projects, direct or indirect staff oversight or training, etc.
  • Demonstrated experience gathering, researching, interpreting, and documenting data and requirements for projects and/or complex problem solving.
  • What experience you bring (Role Requirements)
  • 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.
  • 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.

Nice to have

  • Required and Preferred Qualifications
  • High School diploma or GED

Compensation

  • $52,000 - $58,000
  • In accordance with applicable state laws, we do not inquire about salary history during the recruitment process.
  • Competitive salary, 401(k) with company match
  • The salary for this position is based on an array of factors unique to each candidate: Such as years and depth of experience, set skills, certifications, etc.

Benefits

  • Top Medical/Dental/Vision offerings
  • Tuition reimbursement
  • Additional health and wellness benefits and perks
  • Flexible and trusting environment where you'll feel empowered to do your best work
  • 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.

Company info

  • What We Offer: - Work from anywhere in the US!
  • We are proud to be an equal opportunity workplace.
  • If you require a reasonable accommodation to complete any part of the application or recruitment process, please let our recruiters know.

Visa & Work Authorization

  • al employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender, gender identity or expression, or veteran status
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This listing is sourced directly from Machinify's careers page and normalized into a canonical job model.