Jobs at MedRisk

Data Analyst Level II responsible for analyzing data, generating reports, and providing insights based on findings. Flexible shifts available.

Analyze and resolve billing, claims, and reimbursement issues to ensure accurate, timely revenue receipt. Identify trends, report patterns to management, propose workflow improvements, document resolutions, meet production standards, and maintain HIPAA confidentiality for patient accounts.

Provide data support by writing and running advanced SQL queries, validating and reconciling data across databases, maintaining fee schedule data, documenting data processes, producing reports, resolving data quality issues, and coordinating implementations with internal teams to ensure accurate deployment to client-facing systems.

Facilitate accurate, timely revenue receipt by researching billing and reimbursement issues, communicating with payers and clients, reporting patterns to management, proposing process improvements, maintaining revenue-cycle workflows, and ensuring HIPAA-compliant handling of patient accounts.

Entry-level QA Analyst responsible for executing test cases, documenting and reporting defects, assisting with test plans, and collaborating with developers to ensure product quality. May perform manual testing and maintain test documentation.

Perform in-depth audits of clinical reviews and calls to ensure regulatory compliance and documentation accuracy; analyze trends to recommend quality improvements; provide feedback and training, mentor junior staff, collaborate with cross-functional teams, maintain audit records, and support continuous improvement of clinical review processes.

Perform accurate entry and verification of medical billing data, resolve missing or inconsistent information, correct errors, review error reports, and follow standard operating procedures under close supervision.

The QA Clinical Analyst Level I is responsible for ensuring quality standards in clinical processes, analyzing data for compliance, and providing support for clinical quality improvement initiatives.

The Nurse Utilization-Clinical Analyst conducts telephonic assessments for work-related injuries, providing treatment recommendations and developing relationships with clients and medical providers.

The BI Developer will design and deliver scalable analytics solutions using Power BI, migrate legacy assets, and ensure data integrity through effective governance and optimal performance.

Lead the development and negotiation of healthcare provider contracts, manage contract compliance, and oversee a team of contracting specialists.

Facilitate negotiations between healthcare providers and develop contracts, maintain relationships, and analyze financial impacts within the health insurance industry.

The Quality Assurance Supervisor oversees the QA team, ensuring product quality standards are met, conducting audits, and implementing quality improvement processes.

The Fee Schedule Analyst analyzes guidelines and prepares software specifications for medical bill review in Workers' Compensation and No-Fault insurance, providing support and documentation for internal and external customers.

The Client Solutions Manager oversees project management for client projects, coordinating with business and tech teams while ensuring effective communication and deliverables adherence. Responsibilities include gathering requirements, managing workflows, and maintaining project timelines.

The Revenue Operations Strategy Manager will develop operational strategies, improve processes, and collaborate with various departments to enhance efficiency and meet company goals.

Develops and delivers instructor-led and virtual training on Medata bill review systems, onboarding, workflows, and compliance. Partners with QA and Operations to identify skill gaps, update training materials, coach staff, track trainee performance, evaluate training effectiveness, and support LMS/e-learning implementations to improve accuracy and operational efficiency in bill review.

The Product Support Analyst I provides software issue management, support for customers, analyzes system issues, and collaborates with IT and developers for resolutions.

Execute test cases, identify and document defects, collaborate with developers to reproduce issues, assist in test planning, and report test results to stakeholders to ensure software quality.

Supervise and coach QA team to ensure product quality and compliance. Develop, implement, and maintain quality procedures, perform inspections and audits, manage documentation, drive corrective actions and continuous improvement, and coordinate with production and engineering to resolve quality issues.