Develop and refine reimbursement policies and procedures in collaboration with the team.
Remain updated with the latest billing guidelines and regulations.
Achieve the expected level of accuracy and quality set by the audit for the auditing concept, for valid claim identification and documentation.
Additional responsibilities as assigned or needed to support the business.
What You Bring
3-5 years of relative experience.
Ability to review payment information against Medicare and payer billing guidelines to make determinations relating to the appropriateness of payments.
Experience or certification in coding/billing is helpful.
Ability to meet deadlines.
Willingness and ability to do whatever is necessary to accomplish workload demands
Delivery of high-quality work is critical.
Strong attention to detail; investigative and deductive reasoning skills are a must.
Must be able to make decisions and conclusions when working with limited information using reference materials and strong problem-solving skills.
Must be proficient in Excel, Word, Gmail, Google Sheets, Slack, etc.
Able to work in a fast-paced environment and adapt to rapid change and growth.
Preferred Experience
Post-Pay data mining auditing experience
Pre-Pay data mining experience
Payer auditing experience
What We Offer
Work from anywhere in the US! Machinify is digital-first.
Top Medical/Dental/Vision offerings
FSA/HSA
Tuition reimbursement
Competitive salary, 401(k) with company match
Additional health and wellness benefits and perks
Flexible and trusting environment where you’ll feel empowered to do your best work
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.
Pay range: $85,000
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 status, disability, gender, gender identity or expression, or veteran status. We are proud to be an equal opportunity workplace. Machinify is an employment at will employer. We participate in E-Verify as required by applicable law. In accordance with applicable state laws, we do not inquire about salary history during the recruitment process. If you require a reasonable accommodation to complete any part of the application or recruitment process, please let our recruiters know. See our Candidate Privacy Notice at: https://www.machinify.com/candidate-privacy-notice/
