Medata is always looking for people to become a part of our team who are enthusiastic, motivated, and willing to learn. If there are no openings listed, please feel free to send us your resume.

Forward to humanresources@medata.com.

Quality Assurance Analyst

Duties / Responsibilities

  • Work in a cross functional team on the testing of client server and web based applications.
  • Analyze, gather and clarify requirements.
  • Develop and perform test-cases for functional/regression/performance testing.
  • Accurately record test results and maintain test documentations.
  • Participate in bug scrubs, requirement reviews, and assist in post implementation efforts to improve applications, systems, and processes.
  • Work in a fast-paced, dynamic environment with minimal supervision.

Requirements

  • 3+ years of QA testing experience
  • Experience developing, writing, and executing detailed test cases/test plans
  • Basic SQL knowledge
  • Experience with Linux/Unix based application servers
  • Experience using issue tracking software
  • Strong communication skills (written and verbal)
  • Organizational and time management skills
  • Experience in the medical bill review industry is a plus.
  • Bachelor’s degree in Computer Science or related field preferred

Bill Review Lead

The Team Leader works closely with the processors to ensure quality and SLA's are meeting expectations. The Team Leader is the subject matter expert for the designated area of responsibility. Work closely with the processors and Supervisor to maintain workflow efficiencies, assist with managing the inventory, client SLA's, quality, and productivity. Promote exceptional service by identifying process improvements, offering  solutions, and implementing, Enhance communications by being proactive, asking questions to determine underlying needs, and analyzing the situation; learn from problems and implement preventative measures for the future. Know and exceed client expectations; understand situations from the client’s perspective and deliver solutions specific to the client’s needs. Ensure a team approach, educating associates on their role in supporting the organization, aligning responsibilities with the strengths of the individual team members, and taking responsibility for keeping the team informed.

Duties / Responsibilities

  • Subject matter expert for the designated team.
  • Maintain SLA’s according to client requirements
  • Review quality audits on medical bill review team at set intervals and provide feedback to each team member
  • Mentor lower level staff to prepare them for the next level
  • Document new and update existing workflows as appropriate
  • Respond to client inquiries timely and as appropriate
  • Provide feedback to Management with respect to production and quality requirements
  • Provide quality review on work performed by lower level staff
  • Proactively identify system and/or bill review issues and provide feedback to all levels of management as appropriate
  • Other duties as determined by the Supervisor/Manager

Requirements

  • High School diploma or equivalent – Associates or Bachelors Degree or Bachelors preferred
  • Experience in daily application of workers’ compensation bill review and/or utilization review process or related experience
  • Extensive knowledge of Workers’ Compensation medical fee schedules ( multi-state preferred ), state specific regulations, Medicare guidelines, ICD-9, ICD-10, CPT and HCPCs codes
  • Ability to train others on WC rules, regulations, fee schedule, and processes.
  • Ability to manage competing priorities appropriately
  • Strong verbal and written communication skills in professional relationships with clients, providers and co-workers
  • Must be able to think tactically
  • Proficiency with Microsoft Word and Excel

Bill Review Specialist

Under moderate supervision, this position is responsible for processing and auditing complex and/or high level medical bills in accordance with state Workers’ Compensation fee schedules rules and regulations, UCR, correct coding rules and PPO application/interface through the use of the Medata software. Bills will be processed in accordance with state mandated timeframes, client contractual requirements and established department production standards.

Duties / Responsibilities

  • Enter and review workers compensation or no fault medical bills into the Medata system
  • Analysis and review of 1 or more assigned states
  • Perform technical or specialty review in one or more of the following areas:
    • Complex Hospital, Surgery, Levels of Service, IME’s, etc
    • Reconsideration Requests
    • Quality Assurance Reviews
  • Select proper PPO network based on client instructions
  • Add or update Provider and Claim information as appropriate
  • Utilize Fee Schedules, Online Documents, Client instructions and other training material to proper review medical bills
  • Research usual and customary/fee schedule applications and system interface as appropriate
  • Provide quality review on work as specified by Lead/Supervisor
  • Perform quality assurance audits to ensure reviews are accurate
  • Proactively identify system and/or bill review issues and provide feedback to supervisors or manager
  • Other duties as determined by the Management

Requirements

  • High School diploma or equivalent – Associates Degree preferred.
  • Ability to review higher complexity bills for facility and/or professional services.
  • Knowledge for Worker’s Comp rules, regulations, and UCR and fee schedule rates.
  • Ability to properly address provider requests to reconsider allowances
  • Quality Review and  PPO Network experience a plus
  • Extensive knowledge of Workers’ Compensation medical fee schedules ( multi-state preferred ), state specific regulations, Medicare guidelines, ICD-9, CPT and HCPCs codes
  • Proficiency with 10-key pad at 9000+ kph or equivalent bill processing rate
  • Ability to work in a high production environment while meeting productivity and quality standards
  • Proficiency with Microsoft Word and Excel
  • Strong knowledge of Medical Terminology and CPT / ICD-9 coding
  • Effective written and verbal communication skills

Bill Review Analyst I and II

Under supervision, this position is responsible for analyzing incoming medical bills for fee schedule, no-fault or usual and customary application while meeting contractual client requirements. Candidate will be responsible for meeting production standards and level of accuracy on a daily basis as determined company standards and Management. Pay rate is commensurate with experience.

Duties / Responsibilities

  • Enter and or audit workers compensation or no fault medical bills into the Medata system
  • Analyze medical data (Claim, Payee, Provider, etc…) on medical billing forms to ensure accurate results within the Medata system
  • Proactively identify system and/or bill review issues and provide feedback to your lead or supervisor
  • Add or edit Provider and Claim information as appropriate
  • Utilize Client instructions and other training material to properly review medical bills
  • Other duties as assigned

Requirements

  • High School diploma or equivalent
  • Proficiency as a Bill Review Analyst 1 with 1 or more years experience in medical bill review (workers’ compensation is a plus) or related experience
  • Proficiency with 10-key pad at 9000+ kph or equivalent bill processing rate
  • Ability to work in a high production environment while meeting productivity and quality standards
  • Ability to learn new computer programs and software
  • Ability to work 40 hours per week
  • Proficiency with Microsoft Word and Excel

Preferences

  • Experienced Medical Bill Reviewer Designation
  • Strong written and verbal communication skills

Product Support Analyst II

A Product Support Analyst acts as a software expert and escalation point for Medata, Inc. products and services. The Product Support Analyst works with internal and external customers, IT, and developers to deliver complete resolutions, in a timely manner, and consistently, to address technical questions and concerns with configuration and use of our proprietary products.

Duties / Responsibilities

  • Develop expert level knowledge of company software products offered.
  • Provide high level support to all user types.
  • Analyze system issues and provide resolutions.
  • Evaluate, recommend and implement improvements to client environments.
  • Assess client business requirements and recommend best practices.
  • Create technical documents to define instructions and enhancements to software.
  • Maintain help library.
  • Document customer information and recurring issues to support product quality programs and product development.
  • Document issues in company software and triage incoming calls and emails.
  • Resolve or escalate the issue to the appropriate level Support analysts.
  • Troubleshoot incoming software issues by researching, reproducing the issue, and interfacing with customers, vendors and internal resources through resolution.

Requirements

  • Knowledge of workers’ compensation medical fee schedules including, applicable laws and regulations a plus.
  • 2+ years of industry experience desired.
  • Basic understanding of the Insurance Property and Casualty Industry helpful.
  • Proficiency in all Microsoft Office products with a heavy emphasis on MySQL.
  • Experience with Electronic Data Interfaces or as a Technical Support Representative.
  • Experience working with large data files.
  • Excellent organizational, analytical and problem solving skills.
  • Ability to provide clear written and verbal communication with both internal and external customers.
  • Ability to work independently, meet deadlines and be proactive.
  • Ability to work with minimal direct supervision.
  • Ability to provide activity reports in a timely manner.

Product Support Analyst I

A Product Support Analyst acts as a software expert and escalation point for Medata, Inc. products and services. The Product Support Analyst works with internal and external customers, IT, and developers to deliver complete resolutions, in a timely manner, and consistently, to address technical questions and concerns with configuration and use of our proprietary products.

Duties / Responsibilities

  • Develop expert level knowledge of company software products offered.
  • Provide high level support to all user types.
  • Analyze system issues and provide resolutions.
  • Evaluate, recommend and implement improvements to client environments.
  • Assess client business requirements and recommend best practices.
  • Create technical documents to define instructions and enhancements to software.
  • Maintain help library.
  • Document customer information and recurring issues to support product quality programs and product development.
  • Document issues in company software and triage incoming calls and emails.
  • Resolve or escalate the issue to the appropriate level Support analysts.
  • Troubleshoot incoming software issues by researching, reproducing the issue, and interfacing with customers, vendors and internal resources through resolution.

Requirements

  • Experience with Electronic Data Interfaces or as a Technical Support Representative.
  • Proficiency in all Microsoft Office products with a heavy emphasis on MySQL.
  • Knowledge of workers’ compensation medical fee schedules including, applicable laws and regulations a plus.
  • 2+ years of industry experience desired.
  • Basic understanding of the Insurance Property and Casualty Industry helpful.
  • Excellent organizational, analytical and problem solving skills.
  • Ability to provide clear written and verbal communication with both internal and external customers.
  • Experience working with large data files.
  • Ability to work independently, meet deadlines and be proactive.
  • Ability to work with minimal direct supervision.

State Reporting Systems Business Analyst

The State Reporting Systems Business Analyst is responsible for compliance with state regulated reporting to Workers’ Compensation Boards.  The Analyst will gather requirements, perform technical analysis, developing product/project documentation, provide customer support by troubleshooting issues and translating them into software requirements for workers’ compensation/bill review.

Duties / Responsibilities

  • Monitor all activities related to state reporting and EDI for the Workers’ Compensation industry
  • Participate in the design and enhancement of software products and business processes
  • Prepare Business Requirements Functional Specifications/Documentation to be shared with stakeholders, development and technical teams
  • Researche, review, and analyze the effectiveness and efficiency of existing software features and develop strategies for enhancing or further leveraging the features
  • Prepare recommendations or alternatives for improving software features
  • Own tasks and software projects through full system development life cycle
  • Prepare UAT test cases and coordinate UAT with business stakeholders

Requirements

  • Experience and knowledge of EDI and Workers’ Compensation State Reporting requirements
  • Experience and knowledge of EDI ANSI X12 (specific to chapters relevant to Billing/Medical/Insurance industry)
  • Experience with SQL query creation
  • Experience with Microsoft Office products
  • Skill in analytical and problem-solving techniques
  • Ability to interact effectively with various stakeholders, customers and vendors
  • Ability to understand how report results effect business decisions
  • Ability to continuously provide a high level of quality while working independently and at high-paced velocity
  • Strong analytical and critical thinking skills
  • Demonstrated accuracy and attention to detail

Preferences

  • Workers’ Compensation work experience
  • State Reporting requirements/EDI transactions
  • Excellent customer service skills
  • Experience working in a team-oriented, collaborative environment
  • Must be self-motivated as well as creative and efficient
  • Detail-oriented
  • Proven analytical and problem-solving skills
  • Excellent time management skills
  • Effective interpersonal, communication, and organizational skills

Business Systems Analyst

The Business Systems Analyst is responsible for gathering requirements, performing technical analysis, developing product/project documentation, providing customer support by troubleshooting issues and translating them into software requirements for workers’ compensation/bill review.

Duties / Responsibilities

  • Participates in the design and enhancement of software products and business processes
  • Prepare Business Requirements Functional Specifications/Documentation to be shared with stakeholders, development and technical teams
  • Assesses project and/or business needs and produces supporting data and impact reports
  • Researches, reviews, and analyzes the effectiveness and efficiency of existing software features and develops strategies for enhancing or further leveraging the features
  • Prepares recommendations or alternatives for improving software features
  • Owns tasks and software project through full system development life cycle
  • Prepares UAT test cases and coordinates UAT with business stakeholders

Requirements

  • Experience and knowledge of EDI ANSI X12 (specific to chapters relevant to Billing/Medical/Insurance industry)
  • Experience with SQL query creation
  • Experience with Microsoft Office products
  • Skill in analytical and problem-solving techniques
  • Ability to demonstrate consistent precision and accuracy
  • Ability to interact effectively with various stakeholders, customers and vendors
  • Ability to understand how report results effect business decisions
  • Ability to continuously provide a high level of quality while working at high-paced velocity

Preferences

  • College degree from an accredited university (preferred) with an emphasis in mathematics 2-5 years experience required
  • Excellent customer service skills
  • Experience working in a team-oriented, collaborative environment
  • Must be self-motivated as well as creative and efficient
  • Detail-oriented
  • Proven analytical and problem-solving skills
  • Excellent time management skills
  • Effective interpersonal, communication, and organizational skills

Account Manager

The Account Manager will act as the primary point-of-contact for a number of Bill Review service accounts. Account Managers are responsible for maintaining and growing both the relationship with our clients, and providing both tactical and strategic support for client programs and maximizing opportunities for revenue growth, where applicable. This position will be required to interact with all levels of the Senior Management team.

Duties / Responsibilities

  • Acts as primary point-of-contact for each of the assigned clients
  • Leads day-to-day management and optimization of client campaigns
  • Assists in strategy development
  • Demonstrates working knowledge of each area of our organization’s resources, in order to evaluate recommendations before presenting to the Client
  • Facilitates the operational strategies of the Service Bureau team to increase client service satisfaction
  • Proactively finds new ways to build the client’s business and grow accounts
  • Masters and maintains vast knowledge of the Property and Casualty insurance industry as well as client’s business, competition, and latest industry news and trends

Requirements

  • Bachelor’s degree (Business Administration or Computer Science, preferred)
  • 5+ years experience in Account Management, Client Support, and/or Customer Service
  • Operational understanding of Medical Bill Review and Workers’ Compensation industry (Auto Liability a plus)
  • A general understanding of PPO repricing and network administration
  • The ability to problem-solve and perform strategic analysis of client results
  • A general understanding programming specifications, electronic data interface (EDI) standards and database management optimization- a definite plus
  • Experience with new client implementations
  • Day-to-day client management experience
  • Strong project management and team leadership skills
  • Extremely organized, highly motivated and able to multi-task
  • Excellent verbal/written communication skills
  • Proven negotiations and sales expertise
  • A positive attitude and ability to work under deadlines
  • Familiarity with standard bill review contract forms

Java Developer

Attention Java developers, we're looking for sharp software people to join our team. If you're smart, love programming, and know what you're talking about you'll fit right in. Send your resume and sample code. More code = extra points. We operate in an open source environment; therefore, your Linux skills and knowledge of Tomcat is needed.

Duties / Responsibilities

  • Design, prototype, develop, unit test, debug, and refactor enterprise web applications.
  • The developer will work closely with other web developers, QA, product management, and the deploy team; therefore, communication is important.

Requirements

  • You speak Linux
  • You have 4+ years experience with Java, JSP, Javascript, XML, HTML, CSS
  • You have 3+ years experience with SQL, preferably MySQL
  • You know Tomcat
  • You have a fundamental understanding and experience in designing application architectures. A solid understanding of implementing OO design patterns, such as MVC and are familiar with SOA principles.
  • You are a responsible, mature, and a highly motivated/self directed developer.
  • You work well in a team, and can work singularly or not based on the scope of a task.
  • A/BS Degree in Computer Science, Math, Engineering, or related field (In lieu of degree, 4 years relevant work experience) is preferred.

Permanent full time position with Medical/Dental/Vision/Life and 401K benefits. We are an Equal Opportunity Employer.