Jobs at MedRisk

Reviews medical records, treatment plans, and clinical documentation against established guidelines, APTA standards, and regulations. Conducts utilization and continued-authorization reviews, develops recommendations, documents case activity, and escalates cases for peer review. Provides remote telerehabilitation consultations and communicates with patients, providers, payors, adjusters, and case managers. Supports quality management, clinical oversight, training identification, and evidence-based practice.

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 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.

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.

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.

The job description only identifies a Director of Network Development position and provides no details about responsibilities, qualifications, technologies, compensation, travel, or work authorization.

Lead development of long-term revenue operations strategies, analyze and optimize processes, partner with Product Management and leadership to define tech requirements, act as a BI/Qlik SME, implement operational changes, monitor success metrics, and champion cross-functional initiatives to improve efficiency and reimbursement and billing accuracy.

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.