Claims Administrator

United StatesHybrid

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. What
Optimize for customer impact Deliver results

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.
The ideal candidate demonstrates strong organizational skills, attention to detail, and the ability to work collaboratively in a dynamic environment.
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.
You will have a strong understanding of the role.
You have mastered the tasks and

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.
Pay range : $24.00 USD per hour. This is a non-exempt position.
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
benefits including life insurance, short-term disability, and parental leave.

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.
As part of the Complex Payment Solutions Team , you will, as a Claims Administrator , be responsible for supporting efficient claims processing and ensuring data accuracy throughout the review and auditing process.
This role involves performing incoming claim reviews, organizing data, assigning statuses, and routing completed files to auditors while maintaining document hygiene and adhering to internal procedures.
The position requires close collaboration with internal teams to manage import queues, reconcile balances, validate charges, identify, and address errors, and facilitate claims routing.
The Claims Administrator I oversee the intake and output of files, responding to inquiries, resolving discrepancies, and ensuring effective communication regarding claims.
Additionally, this role includes analyzing data trends, monitoring file-sharing processes, verifying data transfer accuracy, and ensuring appropriate volume levels are maintained.
Data entry of documents and other administrative tasks are also integral to the position.
experience you bring (Role Requirements) Preferred
Strong attention to detail, organizational, analytical, and critical thinking skills.
Excellent interpersonal and teamwork abilities, capable of collaborating across functions and driving change.