Job Description
Location: Remote
Job Type: Temp/Contract
Job Summary:
IBA is seeking a highly skilled and detail-oriented Medical Record Reviewer to join our team. This remote position involves handling a high volume of medical records to determine pre-existing conditions or diagnoses, aiding in the timely processing of healthcare claims. The role is production-based with flexible working hours. A minimum production goal must be met, and candidates must provide their own equipment, including a PC/laptop, internet connection, and a private workspace. Candidates must be registered nurses, with a bachelor's degree preferred.
Key Responsibilities:
· Conduct thorough reviews of medical records to identify pre-existing conditions or diagnoses.
· Ensure accurate and timely assessment of records to support the healthcare claims process.
· Maintain detailed and accurate documentation of reviewed records.
· Manage a high volume of reviews efficiently to meet production goals (Minimum 4 Files Per Hour).
· Utilize company systems and software for record management and reporting.
· Communicate effectively with internal teams to ensure smooth workflow and resolution of any issues.
Qualifications:
· Minimum Licensed Practical Nurse (LPN) license is required; Bachelor's degree in nursing or a related field is preferred.
· Proven experience in medical record review or a similar role/background.
· Strong attention to detail and excellent analytical skills.
· Ability to meet and exceed production goals in a high-volume environment.
· Proficient in using computer systems and software applications.
· Must have own equipment: PC/laptop, reliable internet connection, and a private workspace.
This is 1099 per-diem (per-file) work. Please contact us for contract rates for LPN and RN.
Company Description
International Benefits Administrators (“IBA”) is a TPA, founded in 1972, that specializes in the design, implementation & administration of self funded health and dental plans. IBA also provides claims paying support for several medical insurance carriers.
International Benefits Administrators (“IBA”) is a TPA, founded in 1972, that specializes in the design, implementation & administration of self funded health and dental plans. IBA also provides claims paying support for several medical insurance carriers.
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