Senior Auditor - Healthcare Claims - Remote

Overview

Machinify is seeking a Senior Auditor for pre and/or post pay data mining to conduct claims audits on behalf of Machinify’s customers, ensuring customer satisfaction through comprehensive reviews and quality enhancements.

In Short

• Conduct comprehensive reviews of pre and post pay claims.
• Serve as a claims billing and payment expert.
• Develop and refine reimbursement policies and procedures.
• Remain updated with billing guidelines and regulations.
• Achieve expected levels of accuracy and quality in audits.
• Identify new payment error concepts and potential claims for recovery.
• Support additional responsibilities as needed.

Requirements

• 5+ years of relative experience in healthcare claims auditing.
• Ability to review payment information against billing guidelines.
• Experience or certification in coding/billing is helpful.
• Strong attention to detail and investigative skills.
• Proficiency in Excel, Word, Google Sheets, and messaging platforms.
• Able to work in a fast-paced environment and adapt to changes.

Benefits

• Work from anywhere in the US.
• Flexible and trusting work environment.
• Incredible medical/dental/vision benefits for employees and their families.
• Competitive salary and equity, 401(k) sponsorship, life insurance.
• Generous Learning and Development Reimbursement policy.