Claims Development Specialist

Are you interested in harnessing technology and AI to transform healthcare?

At XiFin, we believe a healthier, more efficient healthcare system starts with strong financial and operational foundations. Our innovative technologies help diagnostic providers, laboratories, and healthcare systems manage complexity, drive better outcomes, and stay focused on what matters most: patient care.

We're on a mission to simplify the business side of healthcare-and we know that mission takes people from all backgrounds and experiences. Whether you're early in your career or bringing years of expertise, we welcome your perspective, your curiosity, and your passion. We value individuals who ask questions, challenge the status quo, and want to grow while making a real difference.

About the Role

The Claims Development department posts all demographic and charge-related information to the billing system, ensuring that claims are billed out accurately and timely for all clients. The Claims Development Specialist is responsible for specific geographic locations, ensuring accurate conversion of files, demographic posting, charge posting and clean up, and review of all outstanding data is completed daily. You must be detail oriented, able to multitask, work equally as part of a team and independent at times.

This position will be located at our offices in Westlake Village, CA.

This position is not eligible for employment sponsorship now or in the future. Applicants must have current and ongoing authorization to work in the United States.

How you will make an impact:

In this role, you'll:

• Utilize MS Excel and MS Access to process daily demographics into a standard format.
• Access client portals remotely to retrieve pending information related to missing charge and/or demographic information not received with the initial data and clear from holding queues daily.
• Research new Referring Drs including obtaining correct addresses and NPI details to add to the billing system.
• Work Translations for POS, Relationship Codes, New Patients, New Insurances, etc.
• Work EMC Exceptions within Imagine.
• Assist in the manual printing process of paper HCFA's weekly.
• Review and process charges from the Optum assisted coding engine, to the Imagine billing software.
• Utilize Microsoft Access and/or other database systems to complete and track progress.
• Be a team player with the ability to work effectively with cross-functional teams.
• Utilize your excellent organizational, multitasking & detail-oriented skills.
• Communicate with internal and external teams with a high level of professionalism.
• Adhere to HIPAA and company confidentiality policies at all times.
• Participate in ongoing quality assurance reviews and internal audits.
• Assist with audits and special projects.

What you will bring to the team:

We're looking for someone with a growth mindset and a passion for learning. You might be a great fit if you:

• Strong analytical and problem-solving skills.
• Excellent attention to detail and accuracy.
• Communicate clearly and confidently, both in writing and in conversation.
• Ability to manage multiple priorities in a fast-paced environment.
• Are detail-oriented, organized, and proactive.
• Are eager to learn, ask great questions, and work with others to solve problems.

Skills and experience you have:

You don't need to check every box. We will consider a combination of education and experience, including:

• High school diploma or equivalent required; bachelor's degree highly preferred.
• Minimum 2 years of medical billing experience, preferably in radiology or diagnostic imaging.
• Knowledge of MS Office Suite & ability to navigate multiple software programs.
• Familiarity with terminology in medical billing.
• Familiarity with billing software, clearing house platforms and EMRs (XiFin, Imagine, TriZetto, Availity, EPIC, etc.).

Why XiFin?

We're more than just a healthcare technology company-we're a team that cares about people.

Here's a glimpse of what we offer:

• Comprehensive health benefits including medical, dental, vision, and telehealth
• 401(k) with company match and personalized financial coaching to support your financial future
• Health Savings Account (HSA) with company contributions
• Wellness incentives that reward your preventative healthcare activities
• Tuition assistance to support your education and growth
• Flexible time off and company-paid holidays
• Social and fun events to build community at our locations!

Pay Transparency

At XiFin, we believe in pay transparency and fairness. The expected hourly rate for this role is $20.00 to $24.00, based on your experience, skills, and geographic location.

Depending on your qualifications, you may be considered for either a Specialist or Sr. Specialist title. Final compensation will be determined during the selection process and may vary accordingly.

Accessibility & Accommodations

We're committed to providing inclusive and accessible experience for all applicants. If you need reasonable accommodation during the application process, please contact us at 858-436-2901.

Equal Opportunity Employer

XiFin is proud to be an equal opportunity employer. We value diverse voices and do not discriminate based on race, color, religion, national origin, gender, gender identity, sexual orientation, disability, age, veteran status or any other basis protected by law.

Ready to apply?

We'd love to hear from you-even if you're not sure you meet every qualification. If you're excited about the role and believe you can contribute to our team, please apply. Let's build something meaningful together