Machinify is a healthcare intelligence company focused on improving transparency, efficiency, and financial outcomes across the payment continuum. The Senior Healthcare Reclamation Analyst reviews and analyzes large volumes of client data and payer correspondence to determine eligibility, primacy, and recovery opportunities. This role works with 277 rejections, explanation of benefits (EOBs), and payer feedback to help recover funds paid in error. The position also contributes to operational improvement, new client programs, reporting, analytics, and process development.
High school diploma or GED required; college preferred.
Minimum 4 years of directly related progressive experience in billing reclamation, recovery, denial management, coordination of benefits, third-party liability, or reclamation.
Minimum 1 year of experience contributing to operations workflow, data reporting and analysis, new client or program setup, subject matter expertise on workflows or projects, staff oversight, or training.
Strong knowledge of healthcare, medical terminology, and medical coding.
Experience with coordination of benefits, third-party liability, and accounts receivable.
Proven ability to gather, interpret, and document 277 rejections and explanation of benefits.
Strong critical thinking, analytical accuracy, and investigative skills.
Ability to communicate professionally with carriers and other stakeholders.
Intermediate to advanced Microsoft Excel skills and ability to analyze large data sets.
Ability to work independently, support junior team members, adapt to change, and maintain professionalism.
Must be able to obtain and maintain required client clearances and pass background and/or drug screening.
Must comply with HIPAA and applicable federal or state regulations.
Work from anywhere in the US.
Top medical, dental, and vision coverage.
FSA/HSA options.
Tuition reimbursement.
Competitive salary.
401(k) with company match.
Additional health and wellness benefits and perks.
Flexible, trust-based work environment.
Location
N/A
Employment Type
Full-time
Experience Level
Senior
Salary Range
$52,000 - $58,000
Remote work allowed
Yes
Posted
1 month ago