--- title: 'Healthcare Reclamation Analyst at Machinify' canonical: 'https://feeny.ai/job/healthcare-reclamation-analyst-machinify-united-states-pnkwrqmpcejh' type: 'job' last_seen: '2026-09-09' --- # Healthcare Reclamation Analyst at Machinify - **Company:** Machinify - **Location:** United States - **Work type:** remote - **Posted:** 2026-08-13 - **Last confirmed live:** 2026-09-09 - **Apply:** https://job-boards.greenhouse.io/machinifyinc/jobs/4369011009 ## 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. The Healthcare Reclamation Analyst reviews assigned client data and payer correspondence, investigates coverage to determine eligibility and primacy, and gathers and interprets explanation of benefits and payer feedback in order to recover funds for clients who have paid in error. What You’ll Do: - Leverage solid knowledge and expertise in COB/TPL/Recovery to gather and review in-house data with payer correspondence to determine proper order of benefits and resolve primacy issues. - Successfully solves data or record discrepancies and/or issues. - Leverage your knowledge and expertise in COB/TPL/MSP to review documentation and eligibility, investigate the file to determine proper order of benefits and answer questions and/or provide information that will bring to successful payment or other appropriate account action. - Communicate effectively with carriers to determine primacy; answer questions and/or provide information that will bring to successful payment or other appropriate account action. - Contact Healthcare Insurance carriers regarding claim responses. - Educate Healthcare Insurance carriers on the Coordination of Benefits rules and appropriately responds to complex questions. - Analyze and understand written communication from insurance companies including explanation of benefits (EOBs). - Support internal groups or functions with gathering and interpretation of the claims billing process and denial management. - Effectively follow and contribute to continuous improvement of scripts, guidelines and other tools provided to have professional conversations with Healthcare Insurance carriers, and/or providers - Efficiently and diligently work through assigned inventories to consistently meet productivity metrics assigned by management. - Leverage knowledge and expertise to research various scenarios that will bring to successful resolution and payment (i.e.. eligibility research and claims appeals). - Initiate applicable action and documentation based upon insurance carriers selected. - Update company systems with clear and accurate information such as point of contact, updated demographic information, notes from contact from outbound and inbound calls and/or attempts, as well as account status updates as applicable - Arrives to work on-time, works assigned schedule, and maintains regular good attendance. - Follows and complies with company, departmental and client program policies, processes, and procedures. - Follows and complies with company, departmental and client program policies, processes, and procedures. - Responsible for utilizing resources to ensure compliance with client requirements, HIPAA, as well as applicable federal or state regulations. - Successfully completes, retains, applies, and adheres to content in required training as assigned. - Consistently achieve or exceed established metrics and goals assigned, including but not limited to, production and quality. - Completes required processes to obtain client required clearances as well as company regular background and/or drug screening; and successfully passes and/or obtains and maintains clearances statuses as a condition of employment. (note: client/government clearance requirements are not determined or decisioned by Performant.) - Demonstrates Performant core values in performance of job duties and all interactions. - Correct areas of deficiency and oversight received from quality reviews and/or management. - Work overtime as may be required. - Performs other duties as assigned. What You Bring: - Minimum 2 years of directly relevant progressive experience in billing reclamation or directly related role demonstrating application of similar depth of skills and knowledge and capability required for the position. - Minimum 12 months relevant collections/receivable experience with consistent high production results. - Experience demonstrating research and analytical skills relevant to the position. - High School diploma or GED. Relevant college courses or certification a plus. - Demonstrated solid applied knowledge and experience with Healthcare, medical terminology, and medical coding, preferably in roles generating, auditing, recovery and/or researching the same. - Demonstrated relevant depth of skills and experience with Coordination of Benefits, Third Party Liability, and Accounts Receivable. - Good research and investigative skills with proven ability to gather and interpret Explanation of Benefits (EOB) to answer questions and consistently resolve primacy issues. - Ability to communicate professionally and effectively with providers, carriers and other audiences regarding eligibility and/or Coordination of Benefits (COB). - Proven ability to gather and interpret Explanation of Benefits (EOB) and answer questions and resolve issues with payments. - Protected patients’ privacy, understands and adheres to HIPAA standards and regulations. - Remarkable interpersonal and communication skills; ability to listen, be succinct and demonstrate positive customer service attitude. - Self-motivated and thrives in a fast-paced business operations department performing multiple tasks cohesively, with keen attention to detail. - Proficiency using standard office technology; computer, various applications and navigation of on-line tools and resources, keyboard, mouse, phone, headset. - Ability to apply knowledge learned in training from various forms (memos, classroom training, on-line training, meetings, discussions, individual coaching, etc.). - Ability to follow process, procedures, and regulations in the workplace. - Ability to effectively perform work independently and work cooperatively with others to promote a positive team environment. - Ability to adapt quickly and transition effectively to changing circumstances, assignments, programs, processes. - Ability to consistently perform job responsibilities. - Ability to obtain and maintain client required clearances as well as pass company regular background and/or drug screening. - Completion of Teleworker Agreement upon hire, and adherence to the Agreement (and related policies and procedures) including, but not limited to: able to navigate computer and phone systems as a user to work remote independently using on-line resources, must have high-speed internet connectivity, appropriate workspace able to be compliant with HIPAA, safety & ergonomics, confidentiality, and dedicated work focus without distractions during work hours. 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 compensation 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.  We are hiring for different levels, and our Recruiting team will let you know if you qualify for a different role/range. Pay range: $22.50/hr. ## 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 - [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 - [Medical Review Nurse II - SNF/MDS Auditor](https://feeny.ai/job/medical-review-nurse-ii-snf-mds-auditor-machinify-united-states-x9bwvtff3xmf) — United States