ML
Fee Schedule Analyst
full-time•Mandaluyong
About this role
Job Purpose:
The Fee Schedule Business Analyst will use analytical, technical, and organizational skills and experiences to deliver value to the Medata team. The purpose of this role is to analyze adopted guidelines and prepare detailed software specifications for the automation of the regulations set forth by each state or governing entity for Workers’ Compensation and No-Fault medical bill review.
Duties:
- Gather, analyze, and document business requirements on adopted state guidelines and clients’ needs
- Create detailed software specifications for development within Medata's proprietary application
- Work within the team to implement the best solutions within the software
- Assist with inquiries and provide internal and external customers support as required
- Generate documentation as needed for processes and functionality implemented within the application
- Attend conferences or seminars as required
- Use of technical tools as taught in the department to look into data tables and identify solutions for reported problems
- Participate in client meetings as requested
- Regular, reliable, and punctual attendance is required as an essential function of this role
- Other duties as assigned or as the business requires
Requirements/Skills/Qualifications:
- 2-5 years experience in Workers’ Compensation insurance, medical bill review, and/or healthcare industry
- Knowledge of Medicare payment policies
- Knowledge of medical terminology and understanding of medical bill review
- Experience in Microsoft Office applications
- Excellent oral and written communication skills
- Proven analytical and problem-solving skills
- Self-starter with excellent time and stress management skills
- Must be extremely detail and deadline oriented
- Ability to work independently and as part of a team
- The ability to communicate technical and business information clearly and lead collaborative meetings with representatives from internal departments and client companies
- Ability to develop and deliver presentations
- Ability to travel (up to 10%)
What you'll do
- The Fee Schedule Analyst will analyze state guidelines and prepare software specifications for automation related to Workers’ Compensation and No-Fault medical bill review. The role involves gathering business requirements, creating specifications, and providing support to internal and external customers.
About MedRisk LLC
Founded in 1994 and headquartered in Conshohocken, Pennsylvania, MedRisk was established with a mission to revolutionize physical rehabilitation for workers' compensation patients. Over the last 30 years, the company has evolved into a leading managed care organization dedicated to physical rehabilitation and medical bill review for the casualty claims industry.
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Frequently Asked Questions
What does a Fee Schedule Analyst do at MedRisk LLC?
As a Fee Schedule Analyst at MedRisk LLC, you will: the Fee Schedule Analyst will analyze state guidelines and prepare software specifications for automation related to Workers’ Compensation and No-Fault medical bill review. The role involves gathering business requirements, creating specifications, and providing support to internal and external customers..
Is the Fee Schedule Analyst position at MedRisk LLC remote?
The Fee Schedule Analyst position at MedRisk LLC is based in Mandaluyong, Metro Manila, Philippines. Contact the company through Clera for specific work arrangement details.
How do I apply for the Fee Schedule Analyst position at MedRisk LLC?
You can apply for the Fee Schedule Analyst position at MedRisk LLC directly through Clera. Click the "Apply Now" button above to start your application. Clera's AI-powered platform will help match your profile with this opportunity and guide you through the application process.