File maintenance 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 File Maintenance team is tasked with implementing and maintaining revenue cycle configurations across multiple lines of business including Clinical Laboratories, Pathology, Radiology, Molecular, Hospitals, and Device Companies. As such – we’re looking for an individual with exceptional organizational skills, a desire to meet and exceed goals as a team, and a constant drive to learn and grow their understanding in order to provide exceptional support to our customers both internally and externally.

This position will be located at our offices in Charleston, SC.

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:

• Manage incoming cases via a Salesforce queue
• Review cases and suggest corrections if necessary
• Facilitate completion of cases, either by completing the work yourself or by coordinating with other departments
• Provide regular updates and maintain channels of communication
• Communicate effectively and professionally with both coworkers and external customers
• Analyze system functions and provide input on how to optimize
• Meet team goals and timelines for case turnaround times
• Monitor public data sources for published regulatory files
• Preparing/Formatting regulatory files for loading into our systems

Skills and experience you have:

A combination of the following education and experience factors will be considered:

• High School Diploma required; advanced education and/or degree preferred
• Must have a minimum of 2 years of experience in the healthcare industry, with experience in laboratory billing preferred
• Knowledge of one or more areas, including: ABN, Appeals, EOBs, CPT and/or ICD-10 coding
• Experience using Microsoft Office (Excel, Outlook, Word)
• Experience with medical billing software, XiFin RPM preferred

Why XiFin?

We’re more than just a healthcare technology company—we’re a team that cares about people. Here’s a glimpse at 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 range for this role is $20 to $24, based on your experience, skills, and geographic location.

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

Accessibility & Accommodations

We’re committed to providing an inclusive and accessible experience for all applicants. If you need a reasonable accommodation during the application process, please contact us at 858-436-2900.

Equal Opportunity Employer

XiFin is proud to be an equal opportunity employer. We value diverse voices and do not discriminate on the basis of 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.