The Patient Account Representative manages collections, account follow-up, and billing allowance posting for assigned accounts. They are responsible for resolving outstanding claims, identifying payment delays, and initiating appeals while maintaining accurate patient and financial records.
Med-Metrix
28 Remote Job Openings at Med-Metrix
The Senior Director of RPA is responsible for leading and scaling the organization's automation center of excellence to deliver measurable business value. This role oversees end-to-end automation delivery, governance, and strategic alignment across clinical and administrative functions.
The Quality Analyst will assess and review the quality of inpatient medical coding to ensure accuracy, compliance, and adherence to established workflows. They are also responsible for leading and coaching a team, managing operational performance, and implementing quality improvement programs.
The Senior Power BI Analyst develops and maintains dashboards to monitor revenue and accounts receivable data for healthcare clients. They collaborate with stakeholders to transform raw data into business insights and provide ad-hoc analysis to support day-to-day operations.
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 Quality Analyst reviews inpatient coding accounts to ensure accuracy, compliance, and adherence to ethical coding workflows. They are responsible for designing quality review programs, coaching a team of coders, and communicating findings to management.
Quality Analyst - Outpatient Medical Coding (IVR/SDS) - WFH
Med-Metrix
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Full Time
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11 days ago
Med-Metrix
The Quality Analyst ensures accurate and compliant coding for Same Day Surgery and Interventional Radiology services through rigorous audits and quality control. The role involves leading corrective actions, coaching coders, and collaborating with leadership to reduce denials and improve documentation alignment.
Oversee daily accounts receivable activities, including monitoring team productivity and ensuring collection goals are met. Manage staff training, quality assurance reviews, and ensure strict adherence to HIPAA and information security policies.
The specialist performs concurrent chart reviews to ensure clinical documentation accurately reflects patient severity of illness and complexity of care. They collaborate with healthcare providers and coding teams to identify documentation gaps and facilitate necessary modifications.
Analyze payer denials and write medically accurate appeals to reduce first-pass denials and recover lost reimbursement. Collaborate with clients and stakeholders to recommend workflow revisions and process improvements based on clinical documentation and medical policies.
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.
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.
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.
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.
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 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.