Careers

At MRI, our people are talented, intellectually curious and driven to make a difference.

We have formal leadership and technical training programs, but new hires also develop their skills working alongside their colleagues and our partners—and are empowered to contribute from their very first client engagement.

We’ve worked hard to hone our understanding of the type of people who thrive in our culture—dynamic, driven individuals on a quest for challenging and rewarding careers. That means we’re choosy about who we bring aboard, but successful candidates feel at home right away.

Our foundation as a superior professional services firm is rooted in our core values: Commitment, Professionalism, Teamwork, Common Sense, Personal Respect, and Communication.

We live these values in everything we do—from client engagements to the work we do with vendors and with fellow employees. If you share them, too, you just may have a future here.

If you’ve been dreaming of working with innovative colleagues who support and inspire you, consider MRI.

Scroll down to learn more and apply or email our Recruiting Team at HR@marginrecovery.com.

Career Opportunities

Welcome to our career opportunities page. To learn more about jobs we have listed below, please click on the job name. To apply for any of our positions please click the "Apply Now" button below to begin. If you have any questions or difficulty applying please email us at HR@marginrecovery.com.

Director of Clinical Operations

Director of Clinical Operations

Interested in using your Care Management leadership experience and skills in a remote, office-based environment?  Interested in joining a fast-growing company with a great work environment, that delivers exemplary clinical services to our hospital clients? Is team building and a healthy, fun culture important to you?   We are looking for an experienced RN Case Management leader who is hyper-focused on delivering consistent, superb results to our clients. Our clinical services encompass all of the typical aspects of clinical care management including virtual, concurrent utilization review, clinical appeals, government audit (RAC) resolution, precertification, retrospective Medicaid reviews status post eligibility and other clinical solutions that differentiate us in the market place.  Qualified candidates must be able to demonstrate a proven track record of delivering and communicating results on key process indicators of the aforementioned.  You will focus on the development, performance and growth of your team and the organization as a whole.  Our comprehensive benefit package is competitive; including but not limited to, paid time off, health, life and disability insurance, gym membership, and a 401K retirement savings plan with an employer match after one year of service.   

Qualifications:

  • Must possess current RN license, BSN preferred
  • 5 Years of Clinical Case Management/Utilization Review/Appeals (Payer or Hospital environment) experience with at least 3 years of leadership experience including hiring qualified nurses
  • Proven and demonstrated success as a leader in the Payer or Hospital environment with excellent written and verbal communication skills
  • Possesses a deep knowledge of medical necessity criteria including MCG and/or InterQual, both preferred; adept at applying said criteria sets
  • Experience in defending government audits such as RAC and medical necessity appeals by writing compelling, persuasive, clinically fact-based letters
  • Ability to work across multiple disciplines/departments to achieve results
  • Strong understanding of how Case Management and Revenue Integrity (HIM) impact the hospital revenue cycle
  • Demonstrated mathematical / analytical aptitude with the ability to translate operational concepts into measurable results; ability to consistently deliver strong results
  • Experience working in multiple EMR/Patient accounting environments, Case Management documentation platforms and adjunct systems
  • Action-oriented, results-oriented, "take charge" attitude, capable of developing a strong business case for client or company actions
  • Ability to become a trusted partner to our clients and colleagues while anticipating their needs
  • Ability to quickly recognize, develop and execute process efficiencies while measuring impact of such efficiencies
  • Ability to interact at the executive level with our clients and colleagues relative to all forms of communication
Sales/Business Development

Sales/Business Development

Interested in joining a fast-growing company that delivers exemplary healthcare revenue cycle results to our clients?  We are looking for someone experienced in sales who is hyper-focused on delivering consistent, superb results to our clients. Our definition of revenue cycle encompasses all of the typical aspects of business office operations including solutions that differentiate us in the market place.  Our comprehensive benefit package is competitive; including but not limited to, paid time off, health, life and disability insurance, and a 401K retirement savings plan with an employer match after one year of service.   

The sales/business development position builds market position by locating, developing, defining, and closing business relationships. The position will screen business deals by analyzing market strategies, deal requirements, and financials associated with the deal.  This team member will become a subject matter expert on the products and services the company provides, creates effective sales pitches, and possesses the ability to influence existing and potential clients to purchase such services by creating contract- winning proposals.  He/she will work closely with the marketing manager to develop collateral that supports sales and/or expansion of the business.  This team member will be responsible for growing company client-base and revenue.     

Essential Duties & Responsibilities

Include the following:

  • Identifies potential clients in the target market and complete appropriate research on the prospective client's business needs
  • Contacts and develops relationships with prospective clients to create new sales opportunities, while maintaining existing client relationships
  • Partners with executive and operational leadership teams and creates contract-winning proposals for current and prospective clients
  • Closes new business deals by coordinating requirements; developing and negotiating contracts; and integrating contract requirements with business operations
  • Works closely with in-house counsel in converting agreed upon proposals into the company’s standardized contract
  • Collaborate with operations teams to ensure contracted services are executed on-time and as agreed
  • Becomes a subject matter expert on our business products, processes and operations, and remain up-to-date on industry news
  • Hiring, training and managing junior salespeople
  • Maintaining a strong understanding of products and services, and innovating new ways to serve businesses
  • Abide by all non-compete/solicit agreements
  • Grows client and revenue base
  • All other duties as assigned

Knowledge, Skills, & Abilities

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • Goal-oriented, priority-setting, organized team player with the ability to work under pressure and in new environments
  • Eager to expand the company with new sales and clients
  • Experienced at preparing and presenting quarterly goals and forecasts for future projects
  • Comfortable in both a leadership and team-player role
  • Strategic and creative problem solver who thrives when presented with a challenge
  • Demonstrated and proven sales results
  • Proficient computer skills, Microsoft Office Suite (Word, PowerPoint, Outlook, and Excel)
  • Exceptional communication and presentation skills, and ability to express technical and nontechnical concepts clearly and concisely
  • Ability to close deals
  • Expert understanding of service and product, and ability to innovate new ways the services/product can serve clients
  • Innate drive to succeed and take initiative
  • Demonstrates professionalism in all interactions with internal and external clients, including written, client-facing, and over the phone
  • Prioritize and manage multiple tasks/assignments and meet established timeframes

Education / Experience

Include minimum education, technical training, and/or experience required to perform the job.

  • Bachelor's degree in business, marketing, communications, or a related field
  • Minimum of 3-5 years of sales experience and deal-closure experience required
  • Healthcare revenue cycle experience preferred with established healthcare C-suite relationships
  • Relevant industry and service knowledge are advantages

The above statements describe the general nature and level of work being performed as of the date of preparation and approval. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of the position. Employees holding this position will be required to perform any other job-related duties as requested by management. The job description does not constitute an employment agreement between the employer and employee, and all requirements are subject to possible modification to reasonably accommodate individuals with disabilities.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • Must be able to work in sitting position for prolonged periods of time, use computer and answer telephone
  • Ability to lift and/or move up to 25 pounds
  • Specific vision abilities required by this job include close vision
  • Ability to travel as needed
Utilization Review Clinician

Utilization Review Clinician

Interested in joining a fast-growing company with a great work environment, which delivers exemplary clinical services to our clients. We are in search of an experienced RN who is looking for an exciting opportunity to be a part of a rewarding and diversified company culture. Our clinical services encompass performing prospective, concurrent, and retrospective review for a high-volume client.

This position requires the candidate to have strong communication skills both verbal and written as well as expertise in applying medical necessity criteria. Qualified candidates must be able to demonstrate a proven track record of delivering excellent results on key performance indicators. The candidate must be able to function independently with exceptional time management and organizational skills.

The Utilization Review Clinician will be responsible for creating &/or contributing to Client reporting; provides effective Client communication – calls, e-mails, coordination of care; utilizing InterQual® (or other client criteria set) to apply medical necessity criteria; contacting the payer for authorization and conducting medical necessity reviews; documentation of clinical outcomes for prospective, concurrent and retrospective review in client system; and comply with applicable government regulations as it pertains to Utilization Review and related billing.  

Education / Experience

  • Valid registered nursing license
  • Minimum of 2 years clinical experience in an acute care setting and
  • Minimum of 2 years with 2 plus years of health care revenue cycle experience
  • ACM or CCM accreditation a plus

 

The above statements describe the general nature and level of work being performed as of the date of preparation and approval. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of the position. Employees holding this position will be required to perform any other job-related duties as requested by management. The job description does not constitute an employment agreement between the employer and employee, and all requirements are subject to possible modification to reasonably accommodate individuals with disabilities.

Auditor

Auditor

Interested in joining a fast-growing company with EVERY Friday off? As an Auditor on MRI’s Audit & Recovery team, you'll help build a growing organization, win over hospital, health system, and surgery center clients with superior customer service and service offerings. You’ll be a critical part of the growth of an emerging leader in hospital revenue cycle solutions. You will work alongside MRI team members to execute project plans which enhance the bottom-line profits for our clients.

The Auditor will be responsible for activities focused on assessing/analyzing third party payments, including Managed Care, Medicare, and Medicaid, as it relates to hospital insurance reimbursement. This includes recording and analyzing data, filing appropriate appeals based on findings to ensure additional payment is received in a prompt manner.

 Essential Duties and Responsibilities:

  • Leverage data-mining and reimbursement modeling tools to review and identify underpayments/denials which are due for additional reimbursement from the payer
  • Identify and document underpayment root causes by contacting payers via phone and through review of client systems and account documentation
  • Submit written appeals detailing expected reimbursement and clearly outlining reasons for additional payment, including citation of contract language, policies, and industry standard in a persuasive manner
  • Gain knowledge of general hospital policies and procedures, hospital underpayments, and revenue cycle maximization opportunities
  • Ensures productivity and quality standards are met
  • Participate in internal client meetings, contributing to a greater understanding of project and initiative progress
  • Coaches/Partners with other team members
  • Identify and research new placement concept opportunities
  • Assist in client reporting
  • Strict adherence to HIPAA privacy and security rules, including following MRI policy at all times
  • All other duties as assigned

Knowledge, Skills, Abilities:

  • Strong analytical, technical, and creative problem-solving skills
  • Demonstrated ability to analyze, understand, and communicate complex issues and trends.
  • Demonstrated interpersonal skills. Ability to clearly articulate goals and expectations to team members and communicate results to MRI Management.
  • Customer-service orientation with ability to independently interact with a range of personalities and styles to establish effective relationships internally & externally.
  • A positive and optimistic attitude that is maintained despite tight deadlines and competing priorities.
  • Genuine enthusiasm for working for an evolving start-up with the ability to embrace new ideas.
  • Ability to consistently demonstrate high personal ethics, integrity, prudence, energy, initiative, and self-confidence.

Education/Experience:

  • Bachelor’s degree with Healthcare, Business, or relevant background preferred
  • Relevant professional experience within Hospital/Insurance industry preferred
  • Expertise within the MS Office Suite including Excel, Word, Outlook, and Access preferred

COMPENSATION AND BENEFITS

  • Four (4) day work weeks
  • Competitive salary commensurate on relevant experience
  • Paid time off and holidays
  • Health insurance package (partially paid by employer)
  • 401(k) plan with employer match after one year of service

Work a minimum of 40 hours per week.

CLICK HERE TO APPLY NOW

Clinical Review Clinician

Clinical Review Clinician 

This individual will be responsible for one or more types of medical record medical necessity clinical reviews.  Clinical reviews may be (1) inpatient or outpatient, (2) for any payer type and (3) may be concurrent, pre-bill or retrospective based on the client service provided.  Examples work activities include and are not limited to:  Clinical Pre-certifications, Utilization Reviews, Clinical Appeals, and Patient Status Reviews.  This role requires strong communication skills both verbal and written as well as expertise in applying medical necessity criteria, doing research on current clinical practices and rules/regulations, and data analyses for the purpose of identifying for the client areas of performance improvement opportunity.  The Clinical Review Clinician will be working directly with clients; managing their accounts and relationships effectively.   

Essential Duties and Responsibilities:

Include the following: 

  • Reviews all available encounter documentation, including but not limited to, medical record and payer correspondence  
  • Utilizes InterQual® (or other client criteria set) to apply medical necessity criteria and determine appropriate patient status and level of care medical necessity  
  • Utilizes applicable payer guidelines to obtain patient pre certification/ authorization and understand covered benefits; For government payers utilizes local and national coverage determinations (LCD, NCD) and other as applicable 
  • Authors factual appeal letter based on available documentation and/or pertinent research articles to support clinical appeal 
  • Documents clinical rationale for pre-certification, status determination, or appeal outcome in client system 
  • Complies with applicable government regulations as pertains to Utilization Review and related billing   
  • Keeps MRI leader(s) informed of outcomes; progress, opportunities, and trends
  • Meets or exceeds deadlines 
  • Creates &/or contributes to Client reporting 
  • Provides effective client communication – calls, e-mails 
  • All other duties as assigned 

Knowledge, Skills, Abilities:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 

  • Expertise with medical necessity criteria set(s) 
  • Knowledge/ ability to conduct through on-line research of accepted standards of practice, provider manuals, regulations, etc. 
  • Understanding of hospital billing and reimbursement; basic patient accounting principles including but not limited to: adjustments, credits, debits, patient liability and revenue codes 
  • Ability to gain knowledge of client’s general hospital policies and procedures, departments, and revenue cycle technology 
  • Establishes strong working relationships between financial and clinical department leaders  
  • Communicating with partners such as physician offices to secure necessary documentation to support pre-certification or appeal 
  • Customer service orientated and understanding of key drivers of client satisfaction; ability to bring improvements to the overall customer experience 
  • Demonstrates professionalism in all interactions with internal and external clients, including written, client-facing, and over the phone 
  • Strategic thinking skills 
  • Knowledge of Microsoft Office tools including Excel, Outlook, SharePoint, PowerPoint and Word 
  • Basic proficiency in computer skills including but not limited to typing, spell check  and use of standard office equipment such as copier, fax 
  • Prioritize and manage multiple tasks/assignments and meet established time frames 
  • Strong presentation and communication skills  
  • Must have strong verbal and written communication skills 
  • Ability to interact with numerous client hospital departments to obtain appropriate info needed to appeal/resolve claims 
  • Ability to interact with payer representatives to bring account to resolution 
  • Ability to communicate to a wide range of audiences from senior executives to front-line employees 
  • Ability to work independently and as a team member 
  • Ability to work with little to no supervision in either office setting or in a remote setting 
  • Maintains professional license through continuing education  

Education / Experience

Include minimum education, technical training, and/or experience required to perform the job. 

  • Valid nursing license 
  • Minimum of 1 year clinical experience in an acute care setting and  
  • Minimum of 1 year with 2 - 5 years preferred of health care revenue experience cycle (e.g. Clinical Pre-cert, Utilization Review, Clinical Appeals) 
  • Previous hospital and/or insurance utilization/ case management experience preferred 
  • Strong fundamental knowledge of third party practices, including Managed Care, Medicare, Medicaid preferred 
  • Understanding of Government audits related to medical necessity preferred 
  • Understanding of explanations of benefits (EOB), Managed Care contracts, Contract language and Federal and State guidelines preferred 
  • Experience with various health care patient accounting and reconciliation systems and electronic medical record systems preferred 
  • Understanding of ICD-9 and ICD 10, CPT/HCPCS coding and medical terminology  though Coding or Clinical Documentation Specialist experience preferred 
  • Previous utilization of medical necessity criteria sets (InterQual®, MCG, NCD’s, LCD’s) preferred 
  • Intermediate skills in setting up, maintaining and working with Excel spreadsheets and graphs and PowerPoint reports preferred  

The above statements describe the general nature and level of work being performed as of the date of preparation and approval. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of the position. Employees holding this position will be required to perform any other job-related duties as requested by management. The job description does not constitute an employment agreement between the employer and employee, and all requirements are subject to possible modification to reasonably accommodate individuals with disabilities. 

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 

  • Must be able to work in sitting positionuse computer and answer telephone for long periods of time 
  • Ability to lift and/or move up to 25 pounds 
  • Specific vision abilities required by this job include close vision. 
  • Ability to travel as needed 

We are an equal employment opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, sex (including gender, pregnancy, caregiver status, sexual orientation or transgender status), national origin, citizenship, age, disability, marital status, genetic information or history or any other legally protected class.