Coordination of Benefits (COB) Analyst II

COB Analyst II

Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched value, transparency, and efficiency to health plans. Deployed by over 75 health plans, including many of the top 20, and representing more than 170 million lives, Machinify's AI operating system, combined with proven expertise, untangles healthcare data to deliver industry-leading speed, quality, and accuracy. We're reshaping healthcare payment through seamless intelligence.

Location : This position will be fully remote.

About the Opportunity

At Machinify, we're constantly reimagining what's possible in our industrycreating disruptively simple, powerfully clear ways to maximize our clients' financial outcomes today and drive down healthcare costs tomorrow. A COB Analyst II is an integral part of a dynamic team. COB Analyst II utilize claims systems and established resources to determine coordination of benefits and potential claim overpayments for members covered by more than one health coverage. Extensive phone outreach to members, employers, providers, and insurers is often needed to make this determination. The Analyst also handle tasks including, but not limited to, invoice preparation, invoice follow-up, and file maintenance.

What you'll do

• Reviews and audits healthcare claims to ensure claims payments coordinated properly, utilizing Medicare and Commercial primacy rules.
• Effectively communicates with healthcare providers, employers, members, and / or insurance representatives to gather information.
• Resolves issues in a timely fashion.
• Utilizes available resources to maximize identification and recovery of overpayments.
• Creates, maintains, and closes files in accordance with policies and guidelines.
• Delivers world class customer service and maintain professionalism in all aspects of communication.
• Actively seeks to identify process improvements to increase workflow efficiency.

What experience you bring (Role Requirements)

What Success Looks Like

After 3 months

After 1 year

Pay range : This is an exempt position with an annual base salary of $57,500 with bonus opportunity.

What's in it for you

What values we'll share with you

At Machinify, we're reimagining a simpler way forward. This begins with our employees. We are innovators who value integrity, teamwork, accuracy, and flexibility. We do the right thing, and we listen to the needs of our clients and their members. As tenured experts with unmatched experience, we champion diverse perspectives that help us to better understand and serve our clients.

Our values come to life through our culture. We embrace flexible working arrangements that allow our employees to bring innovation to life in the way that best suits their productivity. We work cross-functionally, abandoning silos, to bring innovative and accurate solutions to market. We invest in each other through ongoing education and team celebrations, and we give back to our communities through dedicating days for volunteering. Together, Machinify is making healthcare work better for everyone, and we're passionate about a future with better outcomes for all.

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.