MedRisk LLC Jobs in United States

This role involves facilitating accurate and timely receipt of revenue. Through standard processes, the analyst identifies trends and areas of opportunity for efficient workflows. ...

The Medical Bill Review Product Owner is responsible for managing and enhancing medical bill review solutions to drive savings while ensuring equitable payments to providers. · This position blends product ownership, analytical thinking, and cross-functional collaboration to driv ...

We're a group of talented professionals who strive every day to improve the lives of our clients and our providers. · ...

The Client Solutions Manager is responsible for managing the planning and execution of external facing projects involving both new and existing clients. · ...

We are seeking a highly skilled and detail-oriented individual to join our team as a Bill Review Associate III. · The ideal candidate will have a strong background in bill review and possess excellent analytical and problem-solving skills. · ...

As a Network Engineer, you will be responsible for the design, implementation and management of physical and virtual network infrastructure. · ...

+The Business Operations Analyst I is responsible for managing complex appeals. This position requires advanced analytical skills and ability to navigate high stakes claim scenarios. · ...

+Position Overview · The Azure Cloud Architect is responsible for designing, implementing, and optimizing secure, scalable, · and resilient cloud solutions within Microsoft Azure.+Design and implement cloud infrastructure aligned with · Azure best practices for scalability, perfo ...

The Clinical Bill Review Nurse/Certified Coder is responsible for reviewing medical bills and associated documentation to ensure accuracy... · ...

The position requires advanced analytical skills,strong legal and medical knowledge, · and the ability to navigate high stakes claim scenarios.Review and evaluate complex appeals cases involving disputed workers' compensation claims. · Draft detailed and persuasive appeal respons ...

The Appeals Support Specialist supports the appeals workflow by reviewing submissions responding to client inquiries escalating urgent issues requests dismissals as well as case updates from outside counsel runs reports as needed negotiates settlements verifies required documenta ...

Provide support to existing network providers by assisting with claim status while offering outstanding customer service. · ...

· The position is responsible for the successful delivery of complex, · cross-functional programs and large-scale projects that are strategically important · to the organization. · ...

The Supervisor, Operations will directly oversee a team of front-line staff within Operations. · ...

The Business Analyst is responsible for systematically investigating analyzing and documenting business functions and processes to identify opportunities for improvement. · This role defines clear requirements for technology solutions that enhance business procedures. · The Busi ...

The primary role of the Revenue Analyst is to facilitate accurate and timely receipt of revenue. · ...

The Network Product Manager is a strategic leadership role responsible for defining building and evolving MedRisk's Medical Bill Processing PPO Repricing and Cost Containment Network products. This role owns the network product vision and roadmap including the systematic evaluati ...

Under moderate supervision, this position is responsible for analyzing incoming medical bills and reviewing clinical documentation. · Auditing and approving workers compensation medical bills in the Medata system · Analysis and review of different fee schedule states and clients ...

We're looking for a highly motivated and self directed software engineer to join our team. · Design, document, develop and test existing and new software for internal/external products. · ...

The Appeals · SUPPORT Specialist supports timely resolution of appeals and assists with general administrative tasks. · ResponsibilitiesReview appeal requests Maintain organized records of appeal activities . Maintain required Turn Around Time (TAT) per client contracts.,valid_ ...