medrisk

Customer Service Professionals (CSP’s) on the Provider Billing Inquiry (PBI) team are responsible for providing support to our existing network providers by assisting them with status of their claims while providing outstanding customer service.This position is only for U.S. based candidates.Receive inbound phone calls from a phone queueField and provide...

Customer Service Professionals (CSP’s) on the Provider Billing Inquiry (PBI) team are responsible for providing support to our existing network providers by assisting them with status of their claims while providing outstanding customer service. This position is only for U.S. based candidates. - Receive inbound phone calls from a phone queue -...

Position Summary As a Customer Advocate, you will be supporting communication between MedRisk/SPNet’s network providers and referring adjusters and nurse case managers. You will report to the Customer Advocate Team Lead and/or Supervisor to help strengthen MedRisk/SPNet’s referral process, ensuring efficient workflow, while increasing customer...

The Technical Project Manager brings deep technical expertise in infrastructure, database systems, and cloud platforms that the broader PMO does not otherwise have, and independently plans and manages complex technical initiatives, such as systems implementations, integrations, and data projects, from initiation through closeout. Beyond project delivery,...

Customer Service Professionals (CSP's) on the Provider Billing Inquiry (PBI) team are responsible for providing support to our existing network providers by assisting them with status of their claims while providing outstanding customer service.This position is only for U.S. based candidates.Receive inbound phone calls from a phone queueField and provide...

**Position Summary** The Billingual Patient Advocate is responsible for retaining client loyalty and referrals by consistently delivering clear, efficient and valuable support to all callers while providing communication with Adjusters and Nurse Case Managers in order to establish a best-in-class customer experience. The Patient Advocate is further...

 Medata, a company of Medrisk  is seeking Initial Clinical Reviewers to join our Utilization Review Program.  The Initial Clinical Reviewer will be responsible for evaluating medical treatment requests to determine medical necessity, appropriateness and compliance with applicable workers’ compensation guidelines and regulations. This role involves...

Customer Service Professionals (CSP’s) are responsible for providing support by assisting with status of their claims while providing outstanding customer service.This position is only for U.S. based candidates.Receive inbound phone calls from a phone queueField and provide timely response to all daily inquiries from providers & collection staff regarding...

Who We AreFounded in 1994 and headquartered in Conshohocken, Pennsylvania, MedRisk has spent over 30 years building the expertise, network, and technology to become the nation's leading managed care organization for casualty claims. Through decades of innovation and strategic growth, we've evolved to deliver solutions that drive faster recovery, smarter...

Position SummaryAs a Customer Advocate, you will be supporting communication between MedRisk/SPNet’s network providers and referring adjusters and nurse case managers. You will report to the Customer Advocate Team Lead and/or Supervisor to help strengthen MedRisk/SPNet’s referral process, ensuring efficient workflow, while increasing customer...

Position SummaryThe Principal Enterprise Architect is the senior-most technical architecture leader in the organization, responsible for setting and stewarding the long-term enterprise architecture vision and leading the enterprise architecture practice. This role combines deep, broad technical expertise with executive-level influence, advising senior...

About the Role:The Accounts Receive Analyst Level I plays a critical role in managing and reconciling incoming payments within the insurance industry, ensuring accuracy and timeliness in the accounts receivable process. This position is responsible for monitoring customer accounts, processing payments, and resolving discrepancies to maintain financial...

Job Purpose:Under moderate supervision, this position is responsible for responding to provider or client inquiries via phone, fax or email.   Medata’s proprietary workers compensation and auto liability claims cost-containment software will be utilized to look up these inquiries and all “touches” will be logged in Customer Service tracking/logging...

Who We Are We’re a group of talented, driven professionals who strive every day to improve the lives of our clients, our providers and the ultimate stakeholders – the injured workers. We offer an exciting workplace environment plus competitive salaries and benefits. What makes us stand out? It’s the people, the culture we foster and the opportunity...

Position SummaryThe primary role of the Revenue Analyst is to facilitate accurate and timely receipt of revenue. Through the course of standard revenue processes, the analyst is expected to identify trends and areas of opportunity that will result in more efficient workflows and optimal collection rates. This individual will become a subject matter expert in...

Position SummaryThe Technical Scrum Leader facilitates agile delivery for one or more Scrum teams, combining strong Scrum facilitation skills with hands-on technical fluency to bridge Product Managers, Business Analysts, and engineering teams. This role runs effective ceremonies, maintains backlog readiness, and proactively removes technical and...

Job DescriptionPosition SummaryThe Client Solutions Manager is responsible for managing the planning and execution of external facing projects involving both new and existing clients. This position collaborates closely with various business and technical teams to ensure that requirements are clearly defined and effectively communicated to the technical team....

Job Posting TitleDirector, Network DevelopmentJob Description SummaryLead/support the development, negotiation, management, and maintenance of provider contracts for physician organizations, hospital, and ancillary facilities across the payment spectrum for HCS’ workers compensation/PIP network. Lead/support complex negotiations and/or contracting...

We are seeking an experienced and strategic Senior Director of Bill Review Operations to lead and optimize large-scale workers' compensation bill review operations. This senior leader will be responsible for operational performance, client satisfaction, workforce management, process optimization, and business growth across a complex, high-volume service...

Position SummaryThe Product Manager, Data Products owns the strategy, roadmap, and delivery of data and analytics products built on the organization's Snowflake data platform and delivered through Power BI and related reporting tools. This role partners with data engineering, business stakeholders, and analytics teams to define data product requirements,...