medrisk

MedRisk LLC in Mandaluyong, National Capital Region, Philippines, is seeking a claims processor to manage caseloads, confirm patient attendance with providers, and ensure compliance with HIPAA and URAC guidelines.The role requires updating case data on MedRisk's database, relaying authorizations to providers as directed by clients, building professional...

MedRisk LLC in Mandaluyong, Philippines is seeking an auditor to support Spanish-speaking clients. The role involves conducting audits, reviewing documents, and listening to calls conducted in Spanish to ensure audit quality and compliance. The successful candidate must be fluent in English and Spanish, enabling clear communication, accurate interpretation...

MedRisk seeks a Nurse Medical Information Specialist IV to apply clinical expertise in driving improvements in healthcare utilization, cost, and quality. You will analyze cases and claims, provide guidance on care appropriateness, and coordinate with clients and clinical peer reviewers to support healthcare delivery standards. The role requires a...

MedRisk in the Philippines is seeking an Accounts Receivable Analyst to ensure accurate and timely revenue receipt, analyze trends, and optimize collections. The role requires responsibility for billing and revenue cycle matters and effective communication with external payers. You will handle complex billing issues, meet production standards, report...

MedRisk in the Philippines is seeking a licensed Physical Therapist to support clinical reviews and telerehabilitation operations. The role involves documenting case details, reviewing medical information, and coordinating authorizations for telerehab cases. Strong communication, multi-tasking, and organizational skills are essential. Preferred candidates...

MedRisk in Mandaluyong, Metro Manila seeks a Manager of Accounts Receivable to lead AR teams, optimize billing cycles, and improve cash flow. You will guide analysts, coaches, and supervisors, and partner with Account Management to ensure timely revenue collection. The role requires strong leadership, process improvement, and deep Excel/Qlik/MIDAS reporting...

MedRisk in the Philippines is seeking a Manager of Accounts Receivable to lead AR teams and optimize client revenue cycles. The role focuses on timely collections, coaching staff, and leveraging Qlik and MIDAS for performance measurement. The position requires a college degree, strong leadership, and expertise in billing processes, with a high emphasis on...

MedRisk is seeking a Quality Assurance Supervisor to oversee QA processes, lead a team of QA analysts, and ensure compliance with industry standards. The role emphasizes developing QA policies, conducting audits, and driving continuous improvement across clinical programs. The ideal candidate has a Bachelor’s degree, a clinical license, and 3+ years in QA...

MedRisk is searching for a Quality Assurance Clinical Analyst Level I in the Philippines. This role is essential for ensuring compliance and accuracy in clinical reviews within a healthcare context. The ideal candidate has a background in Nursing or a related field, along with a clinical license. Key responsibilities include auditing clinical reviews,...

MedRisk is seeking a Nurse Utilization and Clinical Advisor Services Analyst IV to apply clinical expertise to improve healthcare resource use, costs, and quality. You will analyze cases and claims, guide care appropriateness, and coordinate with clients and peer reviewers to support delivery standards. The role emphasizes clinical judgment, collaboration,...

MedRisk in the Philippines is seeking a Manager of Accounts Receivable to lead AR teams and optimize client revenue cycles. The role focuses on timely collections, coaching staff, and leveraging Qlik and MIDAS for performance measurement.The position requires a college degree, strong leadership, and expertise in billing processes, with a high emphasis on...

MedRisk is seeking a customer service specialist in the Philippines to respond to provider and client inquiries by phone, fax, or email. You will use Medata’s cost-containment software to look up inquiries and log every touch in our tracking system.The role requires 1–3 years in a call center or customer service, strong typing (40 WPM) and 10-key speed,...

Medrisk Llc in Mandaluyong, Metro Manila, Philippines, seeks a Manager of Accounts Receivable to lead AR teams, oversee client billing and revenue collection, and optimize processes for timely payments. The role requires coaching, data analysis, and collaboration with leadership to improve performance and client satisfaction. You will use Qlik and MIDAS for...

MedRisk LLC in Iloilo City seeks a Manager of Accounts Receivable to lead AR teams and drive timely revenue collections for diverse clients. You will coach Analysts, Team Leads and Supervisors, analyze billing data with Qlik and MIDAS, and implement process improvements to raise collection rates while maintaining HIPAA compliance and data integrity....

MedRisk in the Philippines is looking for a Product Support Analyst to manage software issues and offer support to users. The role requires excellent organizational and analytical skills, with a focus on effective communication with both internal and external customers.The ideal candidate will work independently to troubleshoot incoming software issues,...

MedRisk is searching for a Quality Assurance Clinical Analyst Level I in the Philippines. This role is essential for ensuring compliance and accuracy in clinical reviews within a healthcare context. The ideal candidate has a background in Nursing or a related field, along with a clinical license.Key responsibilities include auditing clinical reviews,...

MedRisk is seeking a Nurse Utilization and Clinical Advisor Services Analyst IV to apply clinical expertise to improve healthcare resource use, costs, and quality. You will analyze cases and claims, guide care appropriateness, and coordinate with clients and peer reviewers to support delivery standards.The role emphasizes clinical judgment, collaboration,...

MedRisk is seeking a Quality Assurance Supervisor to oversee QA processes, lead a team of QA analysts, and ensure compliance with industry standards. The role emphasizes developing QA policies, conducting audits, and driving continuous improvement across clinical programs.The ideal candidate has a Bachelor’s degree, a clinical license, and 3+ years in QA...

Job Description Position Summary The 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...

MedRisk seeks Customer Service Professionals (CSPs) for the Electronic team to support client retention and referral objectives by handling new EOC/case requests from multiple sources electronically.Responsibilities include opening new EOCs, reviewing case data, making outbound verification attempts, and maintaining productivity with quality monitoring. The...