Fee Schedule Analyst

MedRisk LLC• US,

About The Position

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.

Requirements

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

Nice To Haves

Ability to travel (up to 10%)

Responsibilities

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