Medical Claims Consultant - Part-Time

Enlyte•UNAVAILABLE, UNAVAILABLE

13d•Remote

About The Position

This is a part-time role and hours will vary between a minimum of 8 hours per month up to 100 hours per month depending on the need of the team. At Enlyte, we combine innovative technology, clinical expertise, and human compassion to help people recover after workplace injuries or auto accidents. We support their journey back to health and wellness through our industry-leading solutions and services. Whether you're supporting a Fortune 500 client or a local business, developing cutting-edge technology, or providing clinical services you'll work alongside dedicated professionals who share your commitment to excellence and make a meaningful impact. Join us in fueling our mission to protect dreams and restore lives, while building your career in an environment that values collaboration, innovation, and personal growth. Be part of a team that makes a real difference.

Requirements

Registered nurse (RN) with a license in the state you reside
At least 3 years clinical experience
One year as a reviewer
Proficient with Microsoft Word and Excel
Proficiency in navigating between multiple software platforms simultaneously
Ability to efficiently extract and transfer information between different programs while maintaining accuracy
Adaptability to learn new software systems and workflows quickly
Demonstrated skill in organizing electronic information from disparate sources into cohesive work products
Comfort with cloud-based collaboration tools and shared document environments
Proficient grammar, sentence structure, and written communication skills required

Responsibilities

Analyzes medical records and medical bills for relatedness and causality for clients.
Reviews medical records to evaluate care and status of the claimant.
Conducts medical journal research.
Provides clients with medical evidence preparation and organization.
Examines issues, omissions and discrepancies in medical records.
Prepares case summaries.