---
title: 'Nurse Itemized Bill Reviewer (IBR Analyst) at Machinify'
canonical: 'https://feeny.ai/job/nurse-itemized-bill-reviewer-ibr-analyst-machinify-united-states-zb670xern8ny'
type: 'job'
last_seen: '2026-09-09'
---

# Nurse Itemized Bill Reviewer (IBR Analyst) at Machinify

- **Company:** Machinify
- **Location:** United States
- **Work type:** remote
- **Posted:** 2026-04-23
- **Last confirmed live:** 2026-09-09
- **Apply:** https://job-boards.greenhouse.io/machinifyinc/jobs/4231244009

## 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 Nurse Itemized Bill Reviewer (IBR Analyst), be responsible for reviewing facility insurance claims to determine true and accurate charges. This role requires the analysis of the UB-04, the detailed itemized statement, and medical documentation when provided. The analyst will apply the client policy and industry standards when reviewing these claims. This role must identify billed items and services that do not meet the appropriate compliance guidelines. This role requires clinical expertise, as well as previous itemized bill review experience.

## What you’ll do

- Perform an in-depth review of medical claims utilizing the UB-04 and detailed itemized statement to ensure the validity of line-item charges.
- Verify accuracy of the itemized charges to be reimbursed according to client policy and industry standards.
- Validate automatic system denials and create additions to enhance efficient processing of IBR claims.
- Recommend system enhancements and edits to improve claim review efficiency.
- Comply with company standards regarding accuracy and productivity to manage daily assignments and meet client turnaround times.
- Consult with Senior Analysts with any questions and/or issues related to claim reviews.
- Assist in content development, automation, research, and appeal responses as needed.
- Provide input and collaboration concerning content development with internal groups and on global projects as needed.
- Attend all required meetings.
- Assists in special projects and perform other duties as needed.

What experience you bring (Role Requirements)

- Active RN, LPN, or LVN license in good standing
- Equivalent experience of 1+ years in itemized bill review
- Equivalent experience of 2+ years in healthcare billing and coding
- Experience applying payer policies and national coding guidelines such as CPT, ICD-9/10, and HCPCS
- Ability to research and verify billing and coding accuracy
- Possess significant attention to detail and excellent written and verbal skills
- Excellent organizational, analytical, and problem-solving skills
- Capable of handling multiple projects in a fast paced, hyper-growth environment
- Strong ability to work independently and work with internal teams communicating change across the business

Computer Equipment and Software:

- Experience working with multiple monitors
- Proven success in a remote working environment
- Proficient in Windows office systems, including the full Microsoft Suite and Teams
- Advanced skills in Microsoft Office (Excel, PowerPoint, Word)
- Experience with various software applications and collaboration with development teams

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.  We are hiring for different levels, and our Recruiting team will let you know if you qualify for a different role/range.

Pay range: $80,000 - $90,000, with the opportunity to earn quarterly bonuses.

## 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