Medical Reviewer

At Limitlessli we specialize in recruiting, hiring, and managing high-caliber remote staff for dynamic and growing healthcare facilities. Leveraging our extensive global network, we connect clients with highly qualified professionals, offering tailored services to meet our clients' unique business needs. The Opportunity: 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! This position is remote and offers you the flexibility of working from home. Your responsibilities will include: • 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 To succeed in this role you will need: • 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 Qualifications: • Registered Nurse - NY License Service Fee: Industry standards applicable to the state depending on work experience and level of expertise. Hours: US Eastern Standard Time (EST) – 8am to 6pm Why Limitlessli? 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. Essential requirements: 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. Don't miss out on this opportunity – apply now and become a valuable member of the Limitlessli team! If you're interested in what you have read, then we invite you to take the next step and submit your application. JOIN OUR TEAM!! Apply tot his job