Rising Medical Solutions

Business Analyst

• Gather requirements from end users and business partners
• Query and analyze data to support and influence design and requirement decisions
• Create clear and concise requirements documentation including use cases
• Create detailed visual models to support business requirements including workflow diagrams, wireframes and/or fully functional prototypes that meet best practices and usability standards
• Collaborate with development and quality assurance resources to ensure the business requirements are implemented as intended
• Communicate technical information clearly and lead collaborative meetings with representatives from various internal departments
• Clearly and effectively communicate project status to all project stakeholders
• Create and maintain business requirement documents, user guides, and other relevant documentation
• Proactively identify business process improvement opportunities
• Identify ways to improve adoption and engagement of existing UI features
• Analyze existing UI and suggest improvements to increase usability and overall look and feel
• Support users in production environment, research issues, root cause analysis, report and log defects when necessary
• Audit changes once released to production to ensure changes are working as intended

Business Analyst II

Data Entry

• Obtain maximum savings for clients by accurately entering data and reviewing medical bills according to state laws, fee schedules, and other guidelines.
• Perform data entry on workers' compensation-related medical bills.
• Meet production and accuracy performance metrics, motivated by structured individual performance goals.
• Work independently while being part of a small team.

Data Entry Associate – Entry-Level Healthcare Office Role

Auditor

• Audit medical and billing records to determine if services provided are reasonable, appropriate and necessary.
• Clinically identify and evaluate any charges not related to the occurrence.
• Verify that charges are in accordance with the services ordered and authorized.
• Initiate appropriate contacts with clients and medical providers as appropriate and necessary.
• Negotiate bills and conduct re-evaluation reviews as required
• All while maintaining a human touch, demonstrating sensitivity to culturally-diverse people and situations.

Business Analyst II

Data Entry Associate – Entry-Level Healthcare Office Role

Nurse Auditor - Medical Bill Review