Medical Reviewer - USRN NY - Wound Care

Are you a USRN with specialized expertise in wound care? We have an exciting opportunity for you to join our US based healthcare client as a Medical Reviewer. In this role, you’ll ensure the accuracy and compliance of patient claims and documentation, making a significant impact on patient care and outcomes. If you’re passionate about wound care and want to contribute to a leading healthcare organization, we’d love to hear from you!

• →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

• 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

You will need to have some essential tools – a reliable computer and noise-canceling headset, a second monitor for enhanced productivity, and a stable internet connection. You’ll also be required to have a backup internet connection, ensuring that you’re well-equipped to complete your work seamlessly.

Industry standards applicable to the state depending on work experience and level of expertise.

US Eastern Standard Time (EST) – 8am to 6pm

We embrace the flexibility and convenience of a remote working environment, and you will collaborate with an international team while contributing to our growing business, all from the comfort of your home.