[Hiring] Document Specialist REMOTE USA

Position: Document Specialist

Date Posted: September 4, 2025

Industry: Healthcare / HealthTech / Claims Processing

Employment Type: Full-Time (Remote)

Experience: Not Specified

Qualification: Bachelor Degree holder, Diploma/Degree/Certificate

Salary: $15.00 USD per hour (non-exempt)

Location: Roseville, CA, United States (Remote)

Company: Machinify

Description:
Company Overview
Machinify is a healthcare intelligence firm that combines an AI-driven platform with deep domain expertise to help payers optimize financial outcomes and reduce costs across the payment continuum. Deployed by dozens of health plans nationwide, the company values accuracy, innovation, and practical solutions that improve healthcare operations.

Role Summary
As a Document Specialist on the Complex Claims team, you will manage and streamline document and claims workflows to maintain accuracy, velocity, and compliance with internal procedures. This role focuses on processing and QA of incoming claim documents, organizing claim files, routing items for audit or follow-up, and working with internal teams to resolve discrepancies and system issues.

What You’ll Do

• Manage document workflows: process incoming files, perform quality checks, and ensure adherence to internal procedures.
• Review claims: examine incoming claims, assign appropriate statuses, organize data and route files to auditors or reviewers.
• Support import queues & reconciliation: collaborate with internal teams to reconcile balances, validate charges and correct routing problems.
• Oversee file intake/output: handle discrepancies, answer inquiries and ensure timely movement of documentation.
• Identify and report system issues: submit detailed service tickets for production problems and track resolution.
• Analyze trends: review data across documents and systems to report on efficiency, inventory, routing, volume and other operational metrics.
• Monitor file transfers: ensure file-sharing accuracy and appropriate volume levels for downstream processing.
• Perform data entry: capture itemized bill details and other charge-level information as required.
• Support ad-hoc operational tasks to improve throughput and communication across teams.

Role Requirements

• Healthcare experience preferred but not mandatory.
• Proficiency with Microsoft Office, Adobe Acrobat, multi-monitor workflows and the ability to learn company-specific tools.
• Strong attention to detail, solid organizational skills, and good analytical / critical-thinking ability.
• Comfortable working in a remote setup and collaborating across distributed teams.

What Success Looks Like

• After 3 months: you understand the core tasks, have begun building relationships with peers, manage time and priorities effectively, and incorporate feedback to improve performance.
• After 1 year: you execute responsibilities confidently and efficiently, are recognized as a reliable collaborator, take on broader responsibilities, and can identify opportunities for career growth.

Compensation & Employment Type

• Pay rate: $15.00 USD per hour (non-exempt).
• Work arrangement: fully remote (with tools and processes to support distributed work).

Benefits

• Paid time off, paid holidays, and volunteer days.
• Eligibility for health, vision and dental coverage, 401(k) plan with company match, and flexible spending accounts.
• Tuition reimbursement and access to company-paid benefits (life insurance, short-term disability, parental leave).
• Remote and hybrid work flexibility where applicable.

Values & Culture

• Emphasize curiosity (“ask why”), big-picture thinking, humility, customer impact, and delivering measurable results.
• Collaborative, cross-functional environment that supports continuous learning and community involvement.

Equal Opportunity & Candidate Information

• Machinify is an equal opportunity employer committed to fair treatment regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or expression, or veteran status.
• Employment is at-will where applicable; the company participates in E-Verify as required. Reasonable accommodations for the application or recruitment process can be requested from People Operations.

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