Technical Operator III

Job not on LinkedIn

🔥 4 minutes ago

🏄 California – Remote

🏄 California – Remote

💵 $21 - $24 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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MedRisk

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1994

🏥 Healthcare

⚕️ Healthcare Insurance

☁️ SaaS

Healthcare • Healthcare Insurance • SaaS

MedRisk is a managed care organization that specializes in improving recovery and payment integrity for workers' compensation and occupational injury cases. The company combines clinical triage, scheduling, patient engagement, network management, and analytics to connect patients with appropriate care, streamline authorizations, and deliver secure electronic payments. MedRisk provides services and technology platforms for payers, providers, and patients to optimize spending, ensure compliance, and translate data into actionable insights.

📋 Description

• Evaluate, negotiate, and settle workers’ compensation claims in compliance with applicable laws and internal policies • Review and analyze medical bills, treatment records, and claim documentation to determine appropriate settlement values • Negotiate with medical providers and other parties to reach fair and timely resolutions • Ensure compliance with applicable state workers’ compensation laws and regulations • Maintain accurate and up-to-date documentation of negotiations and outcomes in the claims management system • Identify cost-saving opportunities and minimize claim exposure • Communicate clearly and professionally with internal and external contacts • Monitor claims for trends and report potential areas of concern • Work closely with providers, adjusters, and internal teams

🎯 Requirements

• 2–5 years of experience in workers’ compensation claims handling, bill review, or negotiation (or equivalent combination of education and experience) • Strong knowledge of workers’ compensation regulations and fee schedules • Strong understanding of medical billing codes (CPT, ICD-10, HCPCS), state fee schedules, and PPO discounts • Excellent written and verbal communication and negotiation skills • Strong attention to detail and ability to manage multiple cases independently • Excellent analytical skills • Ability to work independently and manage multiple priorities in a fast-paced environment • Proficiency with claims management systems and Microsoft Office Suite • Experience in a TPA, insurance carrier, or medical cost containment company preferred