--- title: 'Claims Administrator at Machinify' canonical: 'https://feeny.ai/job/claims-administrator-machinify-united-states-j2dr1ydteq0z' type: 'job' last_seen: '2026-09-09' --- # Claims Administrator at Machinify - **Company:** Machinify - **Location:** United States - **Work type:** remote - **Posted:** 2026-04-16 - **Last confirmed live:** 2026-09-09 - **Apply:** https://job-boards.greenhouse.io/machinifyinc/jobs/4223221009 ## 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 Payment Solutions Team, you will, as a Claims Administrator, be responsible for supporting efficient claims processing and ensuring data accuracy throughout the review and auditing process. This role involves performing incoming claim reviews, organizing data, assigning statuses, and routing completed files to auditors while maintaining document hygiene and adhering to internal procedures. The position requires close collaboration with internal teams to manage import queues, reconcile balances, validate charges, identify, and address errors, and facilitate claims routing. The Claims Administrator I oversees the intake and output of files, responding to inquiries, resolving discrepancies, and ensuring effective communication regarding claims. Additionally, this role includes analyzing data trends, monitoring file-sharing processes, verifying data transfer accuracy, and ensuring appropriate volume levels are maintained. Data entry of documents and other administrative tasks are also integral to the position. The ideal candidate demonstrates strong organizational skills, attention to detail, and the ability to work collaboratively in a dynamic environment. ## What you’ll do - Review incoming claims, assign statuses, organize data, and route files to auditors. - Collaborate with teams to manage the import queue, reconcile balances, validate charges, correct errors, and route files. - Oversee file intake and output, addressing inquiries, discrepancies, and errors. - Analyze data trends and communicate updates on claims routing, efficiency, inventory, and volume. - Monitor file-sharing processes, ensure data transfer accuracy, and maintain appropriate volume levels. - Perform data entry and support additional administrative tasks as needed. What experience you bring (Role Requirements) - Preferred experience in medical record review and knowledge of medical terminology. - Proficient in Microsoft Office Suite, Adobe Acrobat, and multi-monitor setups; adaptable to company-specific software. - Strong attention to detail, organizational, analytical, and critical thinking skills. - Excellent interpersonal and teamwork abilities, capable of collaborating across functions and driving change. 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: $24.00 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 - Optimize for customer impact - 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/ ## About Machinify ## Company Overview - **One-liner**: Machinify uses artificial intelligence (AI) to improve healthcare payment integrity, reducing costs and ensuring accurate claims processing for health plans. - **Entity Type**: Private (Acq – Fin stage; investors include New Mountain Capital, Matrix Partners, Battery Ventures, GV) - **Headquarters**: Palo Alto, California, United States - **Founded**: 2015 (per CBInsights) or 2016 (per Built In) - **Founders**: Not publicly available from provided sources ## Core Business - **Primary industry**: Healthcare IT – Payment Integrity & Analytics - **Target customers**: B2B, serving health plans (commercial, Medicare, Medicaid) – 85+ customers including 18 of the top 20 health plans - **Mission/purpose**: “Reshaping healthcare payment through seamless intelligence” – improving performance and affordability for the entire healthcare ecosystem ## Products & Services - **AI Operating System for Payment Integrity**: A platform that includes foundation models trained on billions of healthcare data points, a unified data layer (claims, medical records, contracts, policies), task‑specific intelligent agents, and feedback loops for continuous improvement. - **Payment Integrity Solutions**: Products cover the full spectrum of payment integrity interventions (e.g., DRG review, outpatient audit, subrogation, specialty recovery, claims editing). Deployment models include fully insourced, hybrid, or fully managed. ## Market Standing - **Valuation / Market Cap**: Not disclosed - **Key Metric**: Total funding $10.68M (latest round: Acq – Fin; investors include New Mountain Capital, Matrix Partners, Battery Ventures, GV, Paycheck Protection Program, and others) - **Notable Investors/Partners**: New Mountain Capital, Matrix Partners, Battery Ventures, GV (Google Ventures) - **Growth Signals**: - 85+ customers, including 18 of the top 20 health plans - Covers 270M member lives across commercial, Medicare, and Medicaid - Over $6B in annual cost avoidance and recoveries realized - Currently posting ~48 open roles on Greenhouse (as of search date) ## Competitive Advantages - **AI‑native platform** trained on billions of healthcare data points, combining foundation models, unified data, and task‑specific agents for high‑precision results - **Deep domain expertise** – the team brings 40+ years of combined experience in healthcare payment accuracy - **Flexible deployment** (insourced, hybrid, fully managed) adapts to customer strategy - **Proven scale** (270M member lives, top health plans) demonstrates trust and effectiveness ## Strategic Focus - **Expanding payment integrity interventions** across the full care continuum (commercial, Medicare, Medicaid) - **Continuous improvement** through human‑in‑the‑loop feedback loops - **Investing in AI safety and transparency** while scaling platform capabilities ## Why Work Here - **Culture**: Values-driven (Think Big, Be Humble, Deliver Results, Ask Why, Optimize for Customer Impact); transparent, collaborative environment - **Work model**: Fully remote roles available (US‑based), with some roles requiring onsite presence in Palo Alto, La Grange (KY), or Hendersonville (TN). Hybrid schedules are also supported. - **Technology stack**: Rust, machine learning, large language models, data engineering, cloud processing - **Career opportunities**: Open positions across Engineering (Rust, Frontend, Backend, Fullstack, Platform), Data Science (NLP, Modeling, Agentic Systems), Product Management, Operations, Clinical & Coding Auditors, and more - **Perks**: Mission‑driven work with direct impact on healthcare affordability; strong emphasis on accountability and trust > **Note**: Machinify warns of active hiring scams – legitimate communications always come from official company email addresses and never require payment. ## Sources 1. [machinify.com](https://www.machinify.com/) – Company overview, products, mission 2. [machinify.com/careers](https://www.machinify.com/careers/) – Culture, values, work model 3. [job‑boards.greenhouse.io/machinifyinc](http://job‑boards.greenhouse.io/machinifyinc) – Current job listings (48 roles) 4. [cbinsights.com](https://www.cbinsights.com/company/machinify) – Funding, stage, investors, headquarters, founding year 5. [builtin.com](https://builtin.com/company/machinify) – Office locations, employee count (96), remote/hybrid policy, technology stack ## Other roles at Machinify - [Senior Software Engineer, Backend | Audit Product Team](https://feeny.ai/job/senior-software-engineer-backend-audit-product-team-machinify-united-states-pb394bhcmzz7) — United States - [Manager, Complex Clinical Review](https://feeny.ai/job/manager-complex-clinical-review-machinify-united-states-4f440xe62hjh) — United States - [Manager, Itemized Bill Review (Healthcare)](https://feeny.ai/job/manager-itemized-bill-review-healthcare-machinify-united-states-b18ppqhg5fg7) — United States - [Pharmacy Team Attorney](https://feeny.ai/job/pharmacy-team-attorney-machinify-los-angeles-fs5ddzvzshb8) — Los Angeles, CA - [DME Supervisor](https://feeny.ai/job/dme-supervisor-machinify-united-states-gsh1k6fbqfnz) — United States - [Training Specialist, Medical Review Audit – Clinical RN](https://feeny.ai/job/training-specialist-medical-review-audit-clinical-rn-machinify-united-states-4314twdk0gtf) — United States - [Vice President, Pharmacy](https://feeny.ai/job/vice-president-pharmacy-machinify-los-angeles-j7brs9ngdp51) — Los Angeles, CA - [Medical Appeals Specialist (SCA)](https://feeny.ai/job/medical-appeals-specialist-sca-machinify-united-states-qy0g3h0edac0) — United States - [Healthcare Reclamation Analyst](https://feeny.ai/job/healthcare-reclamation-analyst-machinify-united-states-pnkwrqmpcejh) — United States - [Medical Review Nurse - CMS/RAC Auditor, Government Audits](https://feeny.ai/job/medical-review-nurse-cms-rac-auditor-government-audits-machinify-united-states-ygxgtrhkqdjf) — United States