Medical Reviewer, USRN – Wound Care
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Job Description
Medical Reviewer joining healthcare client to ensure accuracy of patient claims and documentation. Contributing to patient care outcomes from a remote setting with an emphasis on wound care expertise.
Responsibilities:
- Create and maintain client profiles by accurately inputting information into the client's system
- Work closely with clinical staff to retrieve necessary information required for processing patient claims
- Verify the completeness and accuracy of client information, make necessary updates, and review and analyze claim documentation for compliance with established guidelines and requirements
- Maintain confidentiality and handle sensitive information by established protocols
- Assist in the development and implementation of process improvements to enhance efficiency and quality
- Maintain effective working relationships with colleagues using appropriate interpersonal and communication skills
Requirements:
- 2+ years of clinical wound care experience preferred
- Excellent English communication skills, both verbal and written
- Knowledge of PCC and Brightree systems is a plus
- Critical thinking and customer service skills
- Strong working knowledge in MSOffice applications
- Exceptional organizational skills with a keen eye for detail
- Previous experience in a similar role or related field is preferred
- Registered Nurse - NY License
Benefits:
- Flexibility of working from home
- Collaboration with an international team
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