Document Specialist New Remote - US

Machinify, Inc.; United States; Hybrid; USD 22,000 - 31,000; Full time

Benefits offered by this job

PTO

Health, vision and dental coverage

401(k) with company match

Tuition reimbursement

Life insurance

Remote and hybrid work options

Job summary

Machinify is a leading healthcare intelligence company with a configurable, AI-powered platform for health plan clients across the country. The Document Specialist role focuses on processing and quality-checking documents, reviewing claims, and ensuring proper routing and status assignment within the Complex Claims team.

The position emphasizes collaboration with internal teams to maintain import queues, reconcile balances, and validate charges, while monitoring data transfer and reporting

Qualifications

• Healthcare background preferred.
• Proficient in Microsoft Office Suite and Adobe Acrobat.
• Strong attention to detail with excellent organizational, analytical, and critical thinking abilities.

Responsibilities

• Manage document workflows, including processing, quality assurance, and adherence to internal procedures.
• Conduct incoming claim reviews, assign statuses, organize data, ensure accuracy, and route files to auditors.
• Collaborate with internal teams to maintain the import queue, reconcile balances, validate charges, correct errors, and manage claim routing.
• Oversee file intake and output, addressing discrepancies, errors, and inquiries.
• Identify and report production environment issues by submitting detailed service tickets.
• Analyze data trends across documents and systems, providing updates on status, claims routing, efficiency, inventory, and volume to relevant teams.

Skills

Healthcare background

Attention to detail

Organizational abilities

Analytical thinking

Critical thinking

Tools

Microsoft Office Suite

Adobe Acrobat

Multi-monitor setups

Job description

Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched value, transparency, and efficiency to health plan clients across the country. Deployed by over 85 health plans, including many of the top 20, and representing more than 270 million lives, Machinify brings together a fully configurable and content-rich, AI-powered platform along with best-in-class expertise. We’re constantly reimagining what’s possible in our industry, creating disruptively simple, powerfully clear ways to maximize financial outcomes and drive down healthcare costs.

About the Opportunity

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 Claims team, you will, as a Document Specialist, play a pivotal role in managing and streamlining document workflows to ensure accuracy, efficiency, and compliance with internal procedures. This position involves processing and quality-checking documents, reviewing and organizing incoming claims, and ensuring proper routing and status assignment.

The role requires collaboration with internal teams to maintain import queues, reconcile balances, validate charges, and address errors. Responsibilities also include overseeing file intake and output, resolving discrepancies, and handling inquiries. The Document Specialist identifies, and reports system issues, submits service tickets, and analyzes data trends to improve efficiency and communication across teams.

Additionally, this position monitors file-sharing processes, ensures data transfer accuracy, performs itemized bill data entry, and supports various operational tasks as needed. The ideal candidate combines exceptional attention to detail with strong organizational and analytical skills to contribute to seamless document management operations.

What you’ll do

• Manage document workflows, including processing, quality assurance, and adherence to internal procedures.
• Conduct incoming claim reviews, assign statuses, organize data, ensure accuracy, and route files to auditors.
• Collaborate with internal teams to maintain the import queue, reconcile balances, validate charges, correct errors, and manage claim routing.
• Oversee file intake and output, addressing discrepancies, errors, and inquiries.
• Identify and report production environment issues by submitting detailed service tickets.
• Analyze data trends across documents and systems, providing updates on status, claims routing, efficiency, inventory, and volume to relevant teams.
• Monitor file-sharing processes, ensuring data transfer accuracy and appropriate volume levels.
• Perform data entry for itemized bills.
• Complete additional tasks as assigned.

What experience you bring (Role Requirements)

• Healthcare background preferred.
• Proficient in computer skills, including Microsoft Office Suite, Adobe Acrobat, multi-monitor setups, and adaptability to company-specific software.
• Strong attention to detail with excellent organizational, analytical, and critical thinking abilities.

What Success Looks Like…

After 3 months

You will have a strong understanding of the role.

You begin building relationships and collaborating with peers.

You develop effective time and priorities management.

You receive initial feedback about your performance and are using it to improve.

You’ve gained confidence in your abilities and are starting to feel more comfortable in your role.

After 1 year

You have mastered the tasks and responsibilities of the position, executing them with confidence and efficiency.

You have established a strong network of internal relationships and are recognized as a key collaborator.

You’ve been entrusted with greater responsibility indicating the company’s confidence in your abilities.

You see opportunities for career progression and personal development.

Pay range

$19.00 USD per hour. This is a non-exempt position.

What’s in it for you

• 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

What values we’ll share with you

• Ask why
• Think big
• Be humble
• Deliver results

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/

Voluntary Self-Identification

For government reporting purposes, we ask candidates to respond to the below self-identification survey.Completion of the form is entirely voluntary. Whatever your decision, it will not be considered in the hiringprocess or thereafter. Any information that you do provide will be recorded and maintained in aconfidential file.

As set forth in Machinify’s Equal Employment Opportunity policy,we do not discriminate on the basis of any protected group status under any applicable law.

If you believe you belong to any of the categories of protected veterans listed below, please indicate by making the appropriate selection.As a government contractor subject to the Vietnam Era Veterans Readjustment Assistance Act (VEVRAA), we request this information in order to measurethe effectiveness of the outreach and positive recruitment efforts we undertake pursuant to VEVRAA. Classification of protected categoriesis as follows:

A \"disabled veteran\" is one of the following: a veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or a person who was discharged or released from active duty because of a service-connected disability.

A \"recently separated veteran\" means any veteran during the three-year period beginning on the date of such veteran's discharge or release from active duty in the U.S. military, ground, naval, or air service.

An \"active duty wartime or campaign badge veteran\" means a veteran who served on active duty in the U.S. military, ground, naval or air service during a war, or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense.

An \"Armed forces service medal veteran\" means a veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985.