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Overnight Remote Medical Reviewer Jobs in Puerto Rico

LifeLink

Remote Administrator on Call PR

Guaynabo, PR · On-site +1

Engages in review, education, and required organizational meetings to promote best practice sharing ... Advanced knowledge of human anatomy and medical terminology, organ perfusion, strong decision ...

OncoHealth

Case Review Representative

Guaynabo, PR · On-site +1

$13 - $15/hr

Remote/hybrid work experience preferred * A minimum of 2 years of healthcare related administrative ... The Opportunity The cost of cancer related medical services and prescription drugs in the United ...

OncoHealth

Case Review Specialist - PR

Guaynabo, PR · On-site +1

Remote/hybrid experience preferred * A minimum of 2-4 years' administrative experience and/or ... The Opportunity The cost of cancer related medical services and prescription drugs in the United ...

Deloitte

Epic Denials Management Operator

San Juan, PR · Remote

$17.75 - $23.50/hr

This is a primarily remote role supporting enterprise Epic support, with minimal travel and ... Review hospital account records and payer remittance records, communicate with relevant Client RCM ...

DaVita

Regional Operations Director (ROD)

San Juan, PR · Remote

This is a field-based/remote position. Candidates can reside in Newport News, Hampton, Norfolk ... Review, analyze, and address gaps in service excellence, policies, and/or procedures proactively ...

DaVita

Regional Operations Director (ROD)

San Juan, PR · Remote

This is a field-based/remote position. Candidates can reside in Newport News, Hampton, Norfolk ... Review, analyze, and address gaps in service excellence, policies, and/or procedures proactively ...

DaVita

Regional Operations Director (ROD)

San Juan, PR · Remote

This is a field-based/remote position. Candidates can reside in Newport News, Hampton, Norfolk ... Review, analyze, and address gaps in service excellence, policies, and/or procedures proactively ...

DaVita

Regional Operations Director (ROD)

San Juan, PR · Remote

This is a field-based/remote position. Candidates can reside in Newport News, Hampton, Norfolk ... Review, analyze, and address gaps in service excellence, policies, and/or procedures proactively ...

ABB

Group Account Manager

Aguadilla, PR · Remote

$163K - $261K/yr

Remote {#LI-Remote} Your role and responsibilities: * Drives strategic account planning, sales ... Choice between two medical plan options: A PPO plan called the Copay Plan OR a High Deductible ...

ABB

Protection and Control Engineer

Aguadilla, PR · Remote

While this is a full remote position, there is preference for candidates located in the Northern ... Choice between two medical plan options: A PPO plan called the Copay Plan OR a High Deductible ...

All JobsMedical Reviewer JobsOvernight Remote Medical Reviewer JobsOvernight Remote Medical Reviewer Jobs in Puerto Rico

Overnight Remote Medical Reviewer information

What are some common challenges faced by overnight remote medical reviewers, and how can they be managed?

Overnight Remote Medical Reviewers often face challenges such as working across different time zones, maintaining alertness during non-traditional hours, and handling complex cases with limited immediate supervision. To manage these challenges, it's important to establish a consistent sleep schedule, create a distraction-free workspace, and leverage digital communication tools to stay connected with colleagues and supervisors. Regularly participating in virtual team meetings and ongoing training also helps reviewers stay updated on protocols and maintain a sense of teamwork despite remote and overnight conditions.

What is an overnight remote medical reviewer?

Overnight Remote Medical Reviewers are healthcare professionals who assess medical records, insurance claims, or clinical documentation during nighttime hours while working remotely. Their primary responsibility is to ensure that the information complies with legal, regulatory, and organizational standards. They may review patient cases for medical necessity, accuracy, and completeness, and often provide recommendations or decisions to support insurance claims or healthcare providers. Working remotely allows them to serve organizations across different time zones, ensuring 24/7 coverage of medical review processes.

What is the difference between Overnight Remote Medical Reviewer vs Telemedicine Physician?

AspectOvernight Remote Medical ReviewerTelemedicine Physician
CredentialsMedical license, board certification in relevant specialtyMedical license, board certification, often in primary care or specialty
Work EnvironmentRemote, reviewing claims and medical records overnightRemote or in-clinic, providing patient consultations via telehealth
Employer & IndustryInsurance companies, third-party administratorsHealthcare providers, telehealth platforms
Common Search/ComparisonYesNo

The Overnight Remote Medical Reviewer primarily evaluates medical records and claims overnight for insurance companies, requiring specialized credentials. In contrast, a Telemedicine Physician provides direct patient care remotely, often during regular hours. While both roles are remote healthcare positions, their responsibilities and work environments differ significantly.

What are the key skills and qualifications needed to thrive as an overnight remote medical reviewer?

To thrive as an Overnight Remote Medical Reviewer, you need a clinical background (such as RN, MD, or PharmD), strong analytical skills, and experience with medical documentation and terminology. Familiarity with electronic health records (EHRs), medical coding systems like ICD-10, and secure remote review platforms is typically required. Excellent written communication, attention to detail, and self-motivation are important soft skills for working independently and ensuring accuracy. These skills ensure timely, accurate medical reviews that support patient care and compliance in a remote, overnight setting.

What are popular job titles related to Overnight Remote Medical Reviewer jobs in Puerto Rico?

For Overnight Remote Medical Reviewer jobs in Puerto Rico, the most frequently searched job titles are:

What job categories do people searching Overnight Remote Medical Reviewer jobs in Puerto Rico look for?

The top searched job categories for Overnight Remote Medical Reviewer jobs in Puerto Rico are:

What cities in Puerto Rico are hiring for Overnight Remote Medical Reviewer jobs?

Cities in Puerto Rico with the most Overnight Remote Medical Reviewer job openings:

Overnight Remote Medical Reviewer jobs near you

Remote Administrator on Call PR

LifeLink

Guaynabo, PR • On-site, Remote

Full-time

Medical, Dental, Life, Retirement, PTO

Posted 28 days ago

Job description

As a Remote Administrator on Call, you will directly contribute to LifeLink's life-saving mission. The Remote Administrator-on-Call (Remote AOC) supports recovery services staff by overseeing activities related to donor assessment and recovery. Activities requiring direct oversight include, but are not limited to, identification, evaluation, approach, clinical management, allocation, recovery, and overall coordination of donor-related actions. The Remote Administrator-on-Call (Remote AOC) supports recovery services staff by overseeing activities related to donor assessment and recovery. Activities requiring direct oversight include, but are not limited to, identification, evaluation, approach, clinical management, allocation, recovery, and overall coordination of donor-related actions.
Key Responsibilities:
  • Works closely with the Referral Coordinator (RC) in the utilization of available staff and resources with the goal of providing the highest level of support and customer service to referring hospitals and organizations.
  • Maintains awareness of all active donors and referrals expected to provide the legal-next-of-kin with disclosure of donation status or approach for organ and tissue donation, ensuring use of appropriate resources.
  • Provides real-time direction and guidance to staff for identification, evaluation, authorization, clinical management, organ allocation, and surgical recovery directed towards maximizing every organ donation opportunity.
  • Proactively engages with staff to provide thorough, in-depth guidance utilizing highly developed clinical expertise and advanced knowledge of the organ donation process. Advises staff when working through operational challenges by providing mentoring, talking points, and coaching.
  • Participates in performance improvement initiatives, identifying trends and supporting formal staff education needs including involvement in regular case activity reviews.
  • Engages in review, education, and required organizational meetings to promote best practice sharing and interdepartmental collaboration.
  • Provides regulatory oversight and verification of critical aspects of the donation process such as brain death documentation, hemodilution, additional risk status, infectious disease testing results, allocation variances, and transplant center/surgeon issues.
  • Performs other duties as assigned.

Who You Are
  • Passionate about helping others and making a difference
  • Aligned with LifeLink's core values of Compassion, Excellence, Legacy, People, and Quality
  • Bachelor's degree or equivalent combination of education, management and/or AOC.
  • Minimum of three years' experience as procurement organization clinical coordinator or two years in management and/or AOC.
  • Advanced knowledge of human anatomy and medical terminology, organ perfusion, strong decision- making capabilities, and strong attention to detail.
  • Remain current on all LifeLink and OPTN policies, CMS regulations, and relevant state and federal laws.
  • Excellent verbal and written communication and customer service skills.
  • Ability to work within a high-paced and elevated stress environment due to the nature of work involving death and dying causing emotional and physical stressors.
  • Ability to prioritize remote work (computer and smart phone) to accomplish the goals for all active donors and referrals with the goal of meeting the needs of all stakeholders.
  • A collaborator who thrives in a mission-first environment

Why LifeLink?
  • Be part of an organization with a legacy of saving lives and giving hope
  • Join a passionate and supportive team across Florida, Georgia, and Puerto Rico
  • COMPANY PAID Medical, Dental, Disability & Life Insurance
  • Generous COMPANY PAID Pension Plan for your Retirement
  • Paid Vacation, Sick Days & Holidays
  • Growth opportunities in a mission-driven, high-impact nonprofit
  • Work with purpose, knowing your efforts directly touch lives

Diversity, Equity & Inclusion
LifeLink is proud to be an equal opportunity employer. We celebrate diversity and are committed to building an inclusive environment that reflects the communities we serve.
Ready to Help Change Lives?
Your next career move could be the most meaningful one yet.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.

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