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.
...while advancing your career in a supportive environment. Structural Engineer PE Benefits & Compensation Competitive compensation... ...graduate structural engineering experience Proficiency with wood, steel, concrete & masonry systems Strong knowledge of building...
...Staff Recruiter, Executive Search Headway's mission is a big one to build a new mental health care system everyone can access. We've built... ...and have served over 1 million patients. We're a Series D company with over $325m in funding from a16z (Andreessen Horowitz), Accel...
Ensures that scope of duties and services provided are consistent and within the guidelines of the state nursing practice act. Demonstrates knowledge of individual patients'/residents' histories, current progress and treatment goals. Demonstrates ability to make...
...more than two highway convictions in the past 3 years *Benefits** Competitive pay schedule * $30.00 Per Hour for Local Load Delivery * 401K * Health Insurance * Dental Insurance * Vision Insurance * Vacation Pay after 13 months of employment * Holiday...
...learning requirements (performance requirements, measures of success, terms and conditions). Perform analyses, designs, and develop learning curriculum to improve performance of USAA Claims Contact Center Representatives (Auto and Property). Assess the learning outcomes...