Medical Claims Consultant

Mitchell International; San Diego (CA); Remote; USD 40,000 - 80,000; Part time

Job summary

Join a forward-thinking company dedicated to helping individuals recover from injuries. As a Medical Claims Consultant, you will leverage your expertise as a registered nurse to analyze medical records, evaluate claims, and provide essential support to clients. This part-time role offers flexibility, allowing you to contribute meaningfully while balancing your personal commitments. Work alongside a passionate team that values innovation and collaboration, and make a real difference in people's lives. If you are driven by compassion and excellence, this opportunity is perfect for you.

Qualifications

• Must be a registered nurse with a valid state license.
• 3+ years of clinical experience and 1 year as a reviewer.

Responsibilities

• Analyze medical records for relatedness and causality.
• Prepare case summaries and organize medical evidence.
• Conduct medical journal research and evaluate claimant status.

Skills

Medical Record Analysis

Causality Assessment

Medical Research

Written Communication

Education

Registered Nurse (RN) License

Job description

Mitchell International


Medical Claims Consultant

US--Remote

Job ID: 25-17904
Type: Regular Part-Time
# of Openings: 1
Category: Medical Services & Support
Mitchell International, Inc.

Overview

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.

Responsibilities

This is a part time role and hours will vary between a minimum of 8 hours per month up to100 hours per month depending on the need of the team.

• 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.

Qualifications

Licenses or Certifications:

• You must be a registered nurse (RN) with a license in the state you reside

Experience:

• Mitchell's Medical Claims Consultants are Registered Nurses and will typically have at least 3 years clinical experience and one year as a reviewer

Written Abilities:

• Proficient grammar, sentence structure, and written communication skills required

Salary:

Please see job description

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