Document Specialist

This a Full Remote job, the offer is available from: United States

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: $15.00 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: This offer from "Machinify, Inc." has been enriched by Jobgether.com and got a 0% flex score.
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Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

2. HOW DO YOU USE THE DIFFERENT COMMUNICATION TOOLS IN DIFFERENT SITUATIONS?

When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

3. WHAT IS "WORKING REMOTE" REALLY FOR YOU?

Many people want to work remotely because of the flexibility it allows. You can work anywhere and at any time of the day...

4. WHAT DO YOU NEED IN YOUR PHYSICAL WORKSPACE TO SUCCEED IN YOUR WORK?

With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

5. HOW DO YOU PROCESS INFORMATION?

Several years ago, I was working in a team to plan a big event. My supervisor made us all work as a team before the big day. One of our activities has been to find out how each of us processes information...

6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

7. HOW DO YOU ORGANIZE FILES, LINKS, AND TABS ON YOUR COMPUTER?

Just like your schedule, how you track files and other information is very important. After all, everything is digital!...

8. HOW TO PRIORITIZE WORK?

The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

9. HOW DO YOU PREPARE FOR A MEETING AND PREPARE A MEETING? WHAT DO YOU SEE HAPPENING DURING THE MEETING?

Just as communication is essential when working remotely, so is organization. Because you won't have those opportunities in the elevator or a casual conversation in the lunchroom, you should take advantage of the little time you have in a video or phone conference...

10. HOW DO YOU USE TECHNOLOGY ON A DAILY BASIS, IN YOUR WORK AND FOR YOUR PLEASURE?

This is a great question because it shows your comfort level with technology, which is very important for a remote worker because you will be working with technology over time...

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