Jobs at MedRisk

Reviews medical records, treatment plans, and clinical documentation for utilization and continued-care authorization. Provides remote physical therapy consultations, evaluates case eligibility using clinical guidelines and professional judgment, communicates with patients and care stakeholders, documents recommendations and case activity, conducts ongoing reviews, supports peer review, and provides clinical guidance to non-clinical staff. The role requires a PT, MPT, or DPT and direct patient-care experience.

Analyzes revenue data, identifies trends and discrepancies, prepares performance reports and forecasts, reconciles revenue with sales and finance teams, monitors key metrics, and supports revenue management strategies and process improvements.

Reviews, audits, and approves workers compensation and no-fault medical bills using fee schedules, PPO interfaces, client instructions, and the Medata system. Analyzes medical records, coding, terminology, billing history, and usual-and-customary applications to recommend payment. Maintains productivity, accuracy, and turnaround-time standards; performs quality reviews; researches billing issues; and escalates system or process concerns.

Provides inbound phone support to providers and collection staff regarding claim status. Explains billing processes and timing, coordinates with internal departments to resolve inquiries, meets customer service and quality standards, maintains agent availability goals, follows procedures, identifies system or process issues, and completes assigned tasks.

Investigates and documents business processes, gathers requirements, and translates them into technical specifications. The Business Analyst acts as a liaison among users, developers, QA analysts, and Scrum teams; supports Agile project delivery, UAT, functionality reviews, issue resolution, and stakeholder communication. The role also maintains comprehensive project documentation, ensures adherence to organizational standards, protects confidential information, and may perform Scrum Master responsibilities when needed.

Performs quality assurance analysis and testing activities as a Level I QA Analyst. The provided description contains no further details about specific responsibilities, tools, qualifications, travel, or work environment.

Performs quality assurance analysis and testing activities for software or products as a Level I analyst. The provided description contains no further details about responsibilities, required qualifications, tools, travel, compensation, sponsorship, or clearance.

The job description provides only the title and indicates a Level I, non-exempt QA Analyst position. No specific responsibilities, qualifications, technologies, travel requirements, or clearance requirements are provided.

Performs quality assurance analysis and testing activities to help identify defects and verify that products or processes meet established standards. The provided description contains no additional responsibilities or requirements.

The job description provides only the title and indicates a Level I, non-exempt quality assurance analyst position. Specific responsibilities, qualifications, technologies, salary, travel, and clearance requirements are not provided.

Performs quality assurance analysis and testing activities for software or systems at Level I. The provided description contains no additional responsibilities or qualifications.

Performs quality assurance analysis and testing activities for software or systems. The provided description contains no further responsibilities or qualification details.

Performs quality assurance analysis and testing activities for software or business processes at the Level I tier. The provided description contains no additional details about specific responsibilities, tools, qualifications, or testing methodologies.

Conducts quality assurance audits for English- and Spanish-speaking clients by reviewing documents, listening to calls, assessing audit evidence, interpreting client interactions, and ensuring accurate, consistent audit results.

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.

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 Data Analyst Level I supports data-driven solutions, generates reports using SQL and Excel, and collaborates on client performance analysis.

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.