Medical Claims Reviewer, 6 Month Contract

Job not on LinkedIn

🔥 17 hours ago

🇺🇸 United States – Remote

💵 $31.3k - $32.5k / year

⏳ Contract/Temporary

🟡 Mid-level

🟠 Senior

🔍🏥 Medical Reviewer

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Simsy Ventures

WebsiteLinkedInAll Job Openings

11 - 50 employees

Founded 2022

💼 Consulting

📣 Marketing

🏥 Healthcare

Consulting • Marketing • Healthcare

Simsy Ventures is a venture builder and institutional co-founder that partners with entrepreneurs, investors, and corporations to create sustainable startups. Their mission focuses on enabling startups to achieve true potential while promoting a positive impact on profits, people, and the planet. With a structured approach, they support startups throughout their lifecycle, from ideation to market validation and growth. By leveraging a repeatable venture studio model, Simsy Ventures aims to uplift economies globally through impactful entrepreneurship.

📋 Description

• Conduct ESRD medical record reviews comparing medical record documentation to EQRS and NHSN to determine accuracy and timely reporting • Determine and classify discrepancies based on the type and severity of errors, including missing data, incorrect values, and data entered in the wrong fields • Participate in quality control activities to support corporate and team objectives • Assist with special projects or responsibilities as assigned by management

🎯 Requirements

• Active, unrestricted RN licensure in the United States and in the state of hire OR active compact multistate unrestricted RN license • Associate Degree in Nursing OR graduate of an accredited School of Nursing • Two years of clinical experience plus two years of experience with utilization/medical review, quality assurance or end stage renal disease/dialysis • Strong clinical background in dialysis, managed care, home health, rehabilitation, and/or medical-surgical settings • Knowledge of specific criteria/protocol sets and the ability to use them effectively • Proficiency with word processing software and Microsoft Office • Ability to work independently, prioritize tasks, and make sound decisions • Excellent customer service, communication, organizational, and critical thinking skills • Ability to handle confidential information with discretion • Proficient with computers, including the ability to use multiple screens and programs simultaneously • High-speed internet (non-satellite) and a private, lockable home office • Background check and drug testing prior to start of employment; some positions may require fingerprinting

🏖️ Benefits

• 401(k) and company match • PTO that grows the longer you stay • Health, Vision, Dental • Company provided Life Insurance and Voluntary Life Insurance • Short Term Disability and Long Term Disability • Possibility for contract extension/conversion