Jobs at MedRisk

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.

Enters, edits, verifies, and corrects medical billing data using established procedures. Reviews source documents and error reports, resolves missing or inconsistent information, maintains data accuracy, and complies with company policies and quality standards under close supervision.

The available posting identifies a Technical Program Manager role, but provides no attached job description or details about responsibilities, qualifications, compensation, travel, or work environment.

Provides nurse-led medical information services, likely responding to healthcare-related inquiries and supporting accurate medical communications. The limited description does not specify additional responsibilities.

Manages smaller projects from initiation through closeout, including scope, schedules, budgets, status reporting, documentation, stakeholder communication, and risk escalation. Supports senior project managers and the PMO on larger initiatives while applying governance, methodologies, templates, and standards. The role requires strong organization, communication, analytical, and time-management skills, with opportunities to develop project management expertise through training, certifications, and mentorship.

Leads large-scale workers’ compensation bill review operations, overseeing service delivery, client satisfaction, workforce planning, process optimization, budgets, and business growth. Manages multiple leadership layers and operational teams while establishing performance goals, monitoring service metrics, driving automation and AI initiatives, and partnering with technology, product, quality, compliance, sales, and clients. Requires extensive healthcare, claims, payment integrity, or medical bill review leadership experience.

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

Enters, edits, verifies, and corrects medical billing data using source documents and error reports. Resolves missing or inconsistent information, ensures data accuracy, follows established procedures and quality standards, and complies with organizational policies. Works under close supervision with no supervisory responsibilities.

Reviews and processes bills for accuracy, completeness, and compliance with applicable billing guidelines. The role likely identifies discrepancies, validates charges, and supports timely resolution of billing issues. Specific responsibilities and qualifications were not provided in the job description.

Supervises quality assurance activities, though specific responsibilities and qualifications are not provided in the available job description.

Reviews and audits medical bills, payment determinations, reconsiderations, and re-reviews. Interprets medical documentation, test results, treatment plans, procedure codes, and reimbursement policies to determine accurate payment. Adjusts technical bills, maintains reimbursement references, and conducts compliance test studies under deadlines. Works independently within established procedures and supports quality service while working overnight, weekend, holiday, and overtime shifts as needed.

Performs quality assurance analysis and testing activities as a Level I QA Analyst. The provided description contains no additional responsibilities or qualification details.

Researches complex billing, claims, and reimbursement issues to support accurate revenue collection. The analyst identifies trends, reports workflow opportunities, proposes process improvements, documents resolutions, meets productivity standards, and protects patient account confidentiality under HIPAA guidelines.

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.

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.

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 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.

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.