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[Remote] Claims Administrator I

Work from home Full-time role Hiring

Note: The job is a remote job and is open to candidates in USA. Machinify is a leading healthcare intelligence company focused on transforming healthcare payment processes. The Claims Administrator I will support efficient claims processing, ensuring data accuracy and collaborating with internal teams to manage claims effectively.

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

Skills

  • Strong attention to detail, organizational, analytical, and critical thinking skills
  • Excellent interpersonal and teamwork abilities, capable of collaborating across functions and driving change
  • Preferred 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

Benefits

  • 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

Company Overview

  • Connected Care Platform at the intersection of health plans and providers It was founded in 2009, and is headquartered in San Mateo, California, USA, with a workforce of 201-500 employees. Its website is http://www.apixio.com.
  • Company H1B Sponsorship

  • Apixio has a track record of offering H1B sponsorships, with 13 in 2023, 10 in 2022, 9 in 2021, 3 in 2020. Please note that this does not guarantee sponsorship for this specific role.
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