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About the Opportunity:
- Review facility insurance claims to determine accurate charges.
- Analyze UB-04s, itemized statements, and medical documentation.
- Apply client policy and industry standards.
What you’ll do:
- Ensure validity of line-item charges.
- Validate system denials and enhance IBR claim processing.
- Recommend system enhancements.
What experience you bring:
- Active RN, LPN, or LVN license.
- Experience in itemized bill review and healthcare billing.
- Ability to research and verify billing and coding accuracy.
Machinify
Machinify is a healthcare intelligence company delivering value, transparency, and efficiency to health plan clients. They have a fully configurable and content-rich, AI-powered platform along with best-in-class expertise, deployed by over 85 health plans, including many of the top 20, representing more than 270 million lives.