Claims Coordinator

Claims Coordinator Job Details

• Level: Entry
• Job Location:
  
  California Office - Roseville, CA (Full Remote)
• Remote Type:
  Fully Remote
• Position Type:
  Full Time
• Salary Range: $15.00 - $15.00 Hourly
• Job Shift: Day
• Job Category:
  Insurance

Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched value, transparency, and efficiency to health plans. Deployed by over 75 health plans, including many of the top 20, and representing more than 170 million lives, Machinify's AI operating system, combined with proven expertise, untangles healthcare data to deliver industry-leading speed, quality, and accuracy. We're reshaping healthcare payment through seamless intelligence.

This role is full remote.

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. As part of the Complex Payment Solutions team, you will, as a Claims Coordinator, play a vital role in supporting the claims lifecycle, reporting directly to the Manager of Claims Coordination. This position is responsible for accurately entering claims into the proprietary software system, facilitating seamless submission to the Transcription Department, and ensuring the efficient flow of claims processing.

You will also manage the preliminary setup for Claims Analysts, providing the critical groundwork needed for accurate and timely claim analysis. Your attention to detail and organizational skills will contribute to the overall efficiency and success of the claims process, making you an essential member of the operations team.

• Monitor incoming claim notifications and ensure all required documents are complete and legible.
• Notify the Lead Claims Coordinator of missing or illegible documents and elevate problematic claims as needed.
• Perform initial claim setup, accurately enter data, and assign correct claim statuses.
• Transfer claim documents to the Transcription Department and notify management of rebills.
• Conduct preliminary analysis of client-submitted data, including claims, EOBs, bills, and policies.
• Complete and submit request forms for additional information to the Senior Claims Analyst.
• Organize, combine, and rename claim documents according to procedures.
• Ensure compliance with HIPAA and all security protocols.
• Proactively handle additional responsibilities as assigned.

• Typing speed of at least 40 WPM.
• Proficient in Adobe and Microsoft Office Suite, including Adobe Acrobat.
• High accuracy in data entry and strong attention to detail.
• Ability to follow procedures precisely.
• Experience using multiple monitors and adapting to company-specific software.
• Strong interpersonal and team collaboration skills, with the ability to drive change across functions.

• Strong understanding of the role.
• Begin building relationships and collaborating with peers.
• Develop effective time and priority management.
• Receive initial feedback about performance and use it to improve.
• Gain confidence in abilities and feel more comfortable in role.

• Master the tasks and responsibilities of the position, executing them with confidence and efficiency.
• Established a strong network of internal relationships and recognized as a key collaborator.
• Entrusted with greater responsibility indicating company confidence in abilities.
• See opportunities for career progression and personal development.

$15.00 per hour USD

• 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

• Ask why
• Think big
• Be humble
• Optimize for customer impact
• Deliver results

At Machinify, we're reimagining a simpler way forward. This begins with our employees. We are innovators who value…