# Healthcare Reclamation Analyst

**Company:** [Machinify](https://hotfix.jobs/companies/machinify)
**Location:** Remote
**Role:** Revenue Operations
**Salary:** $47k – $47k/yr
**Experience:** 2+ years
**Skills:** healthcare claims, medical terminology, medical coding, coordination of benefits, third party liability, medicare secondary payer, accounts receivable, explanation of benefits, HIPAA, claims appeals
**Posted:** 2026-08-13

> Investigates healthcare claims, eligibility, payer correspondence, and explanations of benefits to resolve coordination-of-benefits issues and recover incorrect payments. The role requires at least two years of relevant reclamation experience, healthcare knowledge, strong research skills, and professional carrier communication.

## Job Description

## Responsibilities
- Review assigned client data and payer correspondence to determine eligibility, primacy, and the proper order of benefits.
- Investigate coverage, resolve primacy issues, and recover funds for clients who paid in error.
- Review documentation, eligibility records, claims responses, and explanations of benefits (EOBs).
- Resolve data and record discrepancies and support successful payment or other appropriate account action.
- Communicate with healthcare insurance carriers and providers regarding claim responses, eligibility, coordination of benefits, and payment issues.
- Educate carriers on coordination of benefits rules and respond to complex questions.
- Support internal teams with claims billing process and denial-management research and interpretation.
- Follow and improve scripts, guidelines, and tools for professional conversations with carriers and providers.
- Work assigned inventories efficiently while meeting productivity, quality, and other performance metrics.
- Research scenarios such as eligibility issues and claims appeals to reach resolution and payment.
- Initiate appropriate actions and document carrier contacts, demographic updates, account notes, and status changes in company systems.
- Follow company, departmental, client, HIPAA, and applicable regulatory requirements.
- Complete required training and client clearances, and correct deficiencies identified through quality reviews.
- Work independently and collaboratively, adapt to changing assignments and processes, and work overtime when required.

## Requirements
- At least **2 years of directly relevant progressive experience** in billing reclamation or a related role.
- At least **12 months of relevant collections or accounts receivable experience** with consistently high production results.
- Research and analytical skills relevant to healthcare reclamation.
- High school diploma or GED; relevant college coursework or certification is a plus.
- Applied knowledge of healthcare, medical terminology, and medical coding, preferably in billing, auditing, recovery, or research roles.
- Experience with Coordination of Benefits (COB), Third Party Liability (TPL), Medicare Secondary Payer (MSP), and accounts receivable.
- Ability to gather and interpret EOBs, answer payment questions, and resolve primacy issues.
- Professional communication skills for working with providers, carriers, and other audiences.
- Knowledge of HIPAA standards and regulations.
- Proficiency with computers, standard office applications, online tools, telephone systems, and related equipment.
- Ability to follow processes, procedures, regulations, and training; maintain attention to detail; and perform consistently.
- Ability to work remotely using computer and phone systems, online resources, high-speed internet, and a HIPAA-compliant workspace.
- Ability to obtain and maintain required clearances and pass background or drug screening.

## Compensation and Benefits
- Pay range: **$22.50 per hour**.
- Medical, dental, and vision coverage.
- FSA/HSA.
- Tuition reimbursement.
- 401(k) with company match.
- Health and wellness benefits and other perks.
- Flexible, trusting work environment.

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