Machinify
Nurse Itemized Bill Reviewer (IBR Analyst)
Remote - US · Junior
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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.
- 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.
Responsibilities
- 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.
Requirements
- Attend all required meetings.
- Experience with various software applications and collaboration with development teams
Compensation
- $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.
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.
- 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
Company info
- 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.
- We are hiring for different levels, and our Recruiting team will let you know if you qualify for a different role/range.
- Equal Employment Opportunity at Machinify We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital sta
Visa & Work Authorization
- 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.