Document Specialist

About Machinify

Machinify is a healthcare intelligence company focused on the payment continuum, helping health plan clients improve transparency, efficiency, and financial results. Its AI-powered platform is used by more than 85 health plans, including many of the top 20, and supports over 270 million lives. The company aims to simplify complex processes and reduce healthcare costs through a configurable, content-rich technology and expert-led approach.

About the Opportunity

In this role on the Complex Claims team, the Document Specialist helps keep document operations accurate, organized, and compliant with internal procedures. The position centers on reviewing, processing, and quality-checking documents, handling incoming claims, assigning statuses, and making sure files are routed correctly.

You will work closely with internal teams to manage import queues, reconcile balances, validate charges, resolve errors, and keep claim routing on track. The role also includes overseeing intake and output files, addressing discrepancies, supporting inquiries, flagging system problems, and submitting service tickets when issues are found.

Beyond core processing work, the position involves monitoring file-sharing activity, confirming that data transfers are accurate, entering itemized bill data, analyzing trends in document and system activity, and supporting other operational needs as assigned.

What You’ll Do

• Handle document flow from intake through quality review while following internal procedures and standards.
• Review incoming claims, assign statuses, organize information, and send files to auditors as needed.
• Partner with internal teams to maintain import queues, reconcile balances, validate charges, fix errors, and support claim routing.
• Manage file intake and file output, including the resolution of discrepancies, errors, and incoming questions.
• Spot production environment problems and log them through detailed service tickets.
• Track and summarize trends in documents and systems, including status updates, routing, inventory, volume, and efficiency metrics.
• Monitor file-sharing activity to ensure transfers are accurate and volumes are appropriate.
• Enter data for itemized bills.
• Take on additional duties when needed.

Role Requirements

• Prior experience in healthcare is preferred.
• Comfort using computers and common business tools such as Microsoft Office, Adobe Acrobat, multi-monitor setups, and employer-specific software.
• Strong precision, organization, analytical thinking, and critical reasoning skills.

Success Milestones

After 3 months, you should have a solid grasp of the role, be starting to build working relationships, manage your time and priorities more effectively, and use early feedback to improve. You should also feel more confident and comfortable in the position.

After 1 year, you should be performing the job confidently and efficiently, have a strong internal network, be trusted with broader responsibilities, and recognize opportunities for growth and career development.

Compensation

The pay rate is $15.00 USD per hour. This is a non-exempt position.

Benefits

• Paid time off, paid holidays, and volunteer days.
• Access to health, vision, and dental coverage, a 401(k) plan with company match, and flexible spending accounts.
• Tuition reimbursement.
• Company-paid life insurance, short-term disability coverage, and parental leave eligibility.
• Remote and hybrid work options.

Values

• Ask why.
• Think big.
• Be humble.
• Optimize for customer impact.
• Deliver results.

Equal Employment Opportunity

Machinify is committed to equal opportunity in employment regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender, gender identity or expression, or veteran status. The company is an at-will employer, participates in E-Verify where required by law, does not ask for salary history during hiring where prohibited, and provides reasonable accommodation for applicants who need it during the application or recruitment process.