Machinify

Nurse Itemized Bill Reviewer (IBR Analyst)

Remote - US · Senior

Sponsorship not specified$80k-$90kDetected 50 days ago

ExcelResearchCollaborationProblem SolvingMicrosoft Office

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.
This role requires the analysis of the UB-04, the detailed itemized statement, and medical documentation when provided.
This role must identify billed items and services that do not meet the appropriate compliance guidelines.

Validate automatic system denials and create additions to enhance efficient processing of IBR claims.
Comply with company standards regarding accuracy and productivity to manage daily assignments and meet client turnaround times.
Assists in special projects and perform other duties as needed.

Experience working with multiple monitors
Experience with various software applications and collaboration with development teams
Attend all required meetings.

$80,000 - $90,000, with the opportunity to earn quarterly bonuses.
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.

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.
Perform an in-depth review of medical claims utilizing the UB-04 and detailed itemized statement to ensure the validity of line-item charges.
Equivalent experience of 2+ years in healthcare billing and coding

We are hiring for different levels, and our Recruiting team will let you know if you qualify for a different role/range.
As part of the Complex Payment Solutions team, you will, as a Nurse Itemized Bill Reviewer (IBR Analyst), be responsible for reviewing facility insurance claims to determine true and accurate charges.

al employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital sta

This listing is sourced directly from Machinify's careers page and normalized into a canonical job model.