The Senior Software Engineer is responsible for designing, developing, and installing high-performance software solutions and efficient SQL stored procedures. They will coordinate project implementation, perform system testing, and resolve customer escalations while ensuring HIPAA compliance.
Med-Metrix
28 Remote Job Openings at Med-Metrix
The Licensed Appeal Writer reviews denied insurance claims and patient medical files to develop strategies for reversing denials. They are responsible for creating written appeal letters and managing the workflow to meet strict internal and insurance deadlines.
The coordinator provides administrative support to the Contract Management Department by uploading government fee schedules and validating contracts. They are also responsible for running volume reports, handling pricing inquiries, and maintaining client contract inventories.
Design, build, and maintain scalable data pipelines and architectures to support Denials AI workflows. Ensure data reliability, HIPAA compliance, and optimize performance through efficient SQL and ETL processes.
Responsible for reviewing and appealing payer-initiated DRG downgrades to ensure accurate reimbursement and revenue integrity. Acts as an educator for providers to improve clinical documentation quality and coding accuracy.
The Denial Management Clerk gathers and disseminates information between hospitals, physicians, and insurance companies to resolve denied claims. Responsibilities include updating databases, submitting appeals via portals, and managing patient account statuses.
Lead the Patient Access and RCM teams to meet national and client-specific KPI benchmarks for AR and productivity. Oversee insurance verification, authorization workflows, and the reduction of eligibility denials to maximize patient satisfaction.
Regional Vice President, Business Development - Healthcare Revenue Cycle
Med-Metrix
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Full Time
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7 days ago
Med-Metrix
Drive revenue growth by identifying and closing new business opportunities with healthcare organizations for revenue cycle management solutions. Lead the full sales lifecycle from prospecting to contract execution while maintaining strategic executive relationships.
The Physician Advisor II leads the PA team by mentoring staff and managing client relationships while performing complex medical necessity case reviews. They collaborate with medical staff and resource management to optimize hospital service use and ensure quality of care.
Oversee and train onshore and offshore team members to ensure the accurate credentialing and enrollment of healthcare providers. Monitor work queues, perform quality assurance, and coordinate provider information with insurance companies and clients.
Responsible for managing collections, account follow-ups, and billing allowance posting for assigned accounts. This includes resolving outstanding claims with payers and ensuring all hospital services are billed accurately and timely.
Oversee the A/R team to collect outstanding insurance balances, appeal denied claims, and resolve client A/R issues. Act as a technical expert to manage client relationships and ensure compliance with healthcare regulations and HIPAA standards.
The Physician Advisor performs clinical case reviews to ensure medical necessity and optimize the use of hospital resources. They collaborate with medical staff and case management to improve documentation, coding accuracy, and patient length of stay.
Responsible for managing collections, account follow-ups, and billing allowance postings for assigned accounts. This includes resolving outstanding claims with payers and ensuring accurate billing of hospital services within expected timeframes.
Develop, maintain, and optimize SQL Server databases to support enterprise healthcare software applications. Troubleshoot database issues, implement performance enhancements, and ensure HIPAA compliance for protected health information.
The Licensed Appeal Writer reviews denied insurance claims and patient medical files to develop strategies for reversing denials. They are responsible for creating written appeal letters and managing the workflow to meet strict internal and insurance deadlines.
The Senior Application Developer designs, develops, and maintains high-quality software solutions using the .NET framework. Responsibilities include creating applications from scratch, refactoring code, and providing technical support while ensuring HIPAA compliance.
The role is responsible for the consistent application of HR policies and providing guidance to managers and staff on employment matters. Key duties include managing employee records in the HRIS, analyzing retention trends, and ensuring compliance with legal standards.
The Senior Application Developer designs, develops, and maintains high-quality software solutions using the .NET framework. Responsibilities include writing scalable code, refactoring existing systems, and providing technical support while ensuring HIPAA compliance.
The Physician Advisor performs clinical case reviews to ensure medical necessity and optimize the use of hospital resources. They collaborate with medical staff and case management to improve documentation, coding accuracy, and patient length of stay.
The IT Consultant provides expert advice to optimize technology strategies and implement systems that improve business performance and security. Responsibilities include analyzing IT environments, deploying applications, and ensuring compliance with HIPAA standards.
The Senior Software Engineer will design, develop, and ship new full-stack features while improving existing application performance and fixing bugs. Responsibilities include managing serverless architecture on AWS and collaborating with product management to implement technical requirements.
The Senior Software Engineer will design, develop, and ship new full-stack features while improving existing application performance and fixing bugs. Responsibilities include managing AWS infrastructure, implementing APIs, and collaborating with product management to meet requirements.
The Senior Software Engineer will design, develop, and maintain full-stack features for production applications while ensuring scalability and security. They will also manage cloud infrastructure, perform testing, and collaborate with product teams to resolve issues and implement new requirements.
The Senior Software Engineer will design, develop, and maintain full-stack features for production applications while ensuring scalability and security. They will also collaborate with product and engineering teams to resolve issues, perform testing, and monitor application performance post-deployment.
The Inpatient Medical Coding QA Educator is responsible for improving coding accuracy and compliance by designing targeted educational programs based on quality assurance findings. This role involves facilitating coaching sessions, monitoring performance metrics, and ensuring alignment with official coding guidelines and payer-specific rules.
The Patient Resolution Specialist manages high-volume inbound and outbound calls to secure payments and resolve account inquiries for hospital clients. They are responsible for documenting account statuses, researching payment options, and ensuring all activities comply with HIPAA privacy standards.
The Denials Management Coder is responsible for reviewing denied claims for coding-related errors and determining appropriate actions. This includes making corrections to individual accounts and ensuring compliance with government and local guidelines.
