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Remote Clinical Reviewer Jobs in Rochester, MN (NOW HIRING)

Mayo Clinic

Specialist-HIMS

Rochester, MN · On-site +1

$16.50 - $21.75/hr

Coordinates with clinicians to ensure documentation contains all required elements and is completed ... This is a hybrid position that is primarily remote. Candidates must reside within 100 miles of a ...

Mayo Clinic

Senior Specialist HIMS

Rochester, MN · On-site +1

Coordinates with clinicians to ensure documentation contains all required elements and is completed ... This is a hybrid position that is primarily remote. Candidates must reside within 100 miles of a ...

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$23

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$45

How much do remote clinical reviewer jobs pay per hour?

As of Jul 16, 2026, the average hourly pay for remote clinical reviewer in Rochester, MN is $35.06, according to ZipRecruiter salary data. Most workers in this role earn between $30.53 and $39.42 per hour, depending on experience, location, and employer.

What are Remote Clinical Reviewers?

Remote Clinical Reviewers are healthcare professionals, often nurses or physicians, who evaluate medical records and treatment plans from a remote location to ensure they meet clinical guidelines and insurance requirements. They assess the necessity, appropriateness, and quality of care provided to patients, often working for insurance companies, healthcare organizations, or third-party review agencies. This role typically involves reviewing documentation, making recommendations, and communicating findings electronically or by phone. The position allows for flexible, home-based work while contributing to healthcare quality and compliance.

What is the difference between Remote Clinical Reviewer vs Remote Medical Reviewer?

AspectRemote Clinical ReviewerRemote Medical Reviewer
Required CredentialsRN, LPN, or other healthcare licenses; clinical experienceMD or DO license; medical degree; clinical experience
Work EnvironmentHome-based, healthcare organizations, insurance companiesHome-based, insurance companies, healthcare organizations
Employer & Industry UsageInsurance, healthcare providers, government programsInsurance, healthcare, legal medical review
Common Search & ComparisonYesYes

Remote Clinical Reviewers typically hold nursing or healthcare licenses and focus on reviewing clinical documentation and patient care. Remote Medical Reviewers usually have medical degrees and perform in-depth medical assessments, often for insurance claims or legal cases. Both roles are home-based and serve similar industries, but the Medical Reviewer requires a medical degree and broader clinical expertise.

How does a Remote Clinical Reviewer typically collaborate with other healthcare professionals while working offsite?

Remote Clinical Reviewers regularly coordinate with physicians, nurses, and case managers through secure digital platforms, such as video conferencing, email, and electronic health record systems. Despite working remotely, they are integral to interdisciplinary teams and often participate in virtual meetings to discuss patient cases, clarify documentation, and ensure compliance with clinical guidelines. Building strong communication skills and familiarity with collaboration tools is essential for success in this role, as frequent interaction with both internal teams and external providers is a common aspect of daily responsibilities.

What are the key skills and qualifications needed to thrive as a Remote Clinical Reviewer, and why are they important?

To thrive as a Remote Clinical Reviewer, you need a healthcare background such as RN, LPN, or other clinical licensure, along with strong knowledge of medical guidelines and utilization review processes. Familiarity with electronic medical record (EMR) systems, medical coding, and utilization management software is typically required. Attention to detail, analytical thinking, and clear written communication are crucial soft skills for reviewing patient cases and collaborating with remote teams. These skills and qualifications ensure accurate and timely clinical assessments, support compliance, and help facilitate appropriate patient care decisions in a virtual environment.

What Does a Remote Clinical Reviewer Do?

A remote clinical reviewer works from home reviewing medical records and claims for inpatient and outpatient services. Your responsibilities include executing a thorough review of patient medical records, submitting documentation to insurance companies, and ensuring accurate, timely, and secure processing of patient information. As a clinical reviewer, your duties span determining coverage for diagnosis and treatment, reviewing appeals, and processing correspondence. You provide remote support and expertise to department care coordinators, interact with teams and department heads as necessary, and request additional information for processing records as necessary.

More about Remote Clinical Reviewer jobs
What are popular job titles related to Remote Clinical Reviewer jobs in Rochester, MN? For Remote Clinical Reviewer jobs in Rochester, MN, the most frequently searched job titles are:
What job categories do people searching Remote Clinical Reviewer jobs in Rochester, MN look for? The top searched job categories for Remote Clinical Reviewer jobs in Rochester, MN are:
What cities near Rochester, MN are hiring for Remote Clinical Reviewer jobs? Cities near Rochester, MN with the most Remote Clinical Reviewer job openings:
Remote Clinical Reviewer jobs near you
Member Care Champion / Medical Assistant (Rochester, MN)

Member Care Champion / Medical Assistant (Rochester, MN)

Enara Health

Rochester, MN • On-site, Remote

$19 - $21/hr

Part-time

Re-posted 14 days ago

Job description

About Enara
Enara is a world renowned obesity and medical weight loss start-up, based in Silicon Valley, pioneering the use of data, digital, and clinical treatments to provide personalized plans with measurable results. Enara was founded by people from Stanford, UCSF, Kaiser, ClassPass & Evernote. Our mission is to develop the first ever platform to scale obesity treatment. Our platform allows for the latest breakthroughs in nutrition, exercise, and obesity science to be optimized and delivered in a series of personalized and programmable experiences. Our solutions are disseminated through unified products and services we deploy for the healthcare ecosystem; with a current focus on small to medium sized medical groups and clinics. Our platform has served over 14,000 members and delivers world leading 16%+ weight loss sustained over 3 years. We deliver life changing care to members and we are redesigning the clinic-patient relationship. We are backed by Offline.VC, Charge.VC, VSC, Continuum Ventures, as well as many prominent angels in Silicon Valley.
 
Role
The Member Care Champion is an essential member of the clinical operations team at Enara Health. The ideal candidate will be responsible for overseeing several components of our member journey delivering quality patient care in every step of the way. You will work closely with the clinical and acquisition team performing various tasks that will ensure smooth member flow and efficient operation while streamlining the communication in between departments. We are looking for a warm, passionate team player to join this team to support our physicians, clinical staff and most importantly our members. The MCC will be responsible for adhering to all procedures and practice guidelines promoting communication with all team members, maintaining complete, timely and accurate clinical documentation on site but also online.
Key Responsibilities
  • Check-in Process: Be the friendly face that greets our members, manage the check-in process efficiently, measure and record vital signs accurately, and communicate effectively with our providers.
  • Perform Diagnostic Procedures: Conduct non-invasive diagnostic procedures like body measurements, body composition testing, metabolic testing, and EKGs, all while ensuring accuracy and compliance.
  • Schedule Follow-Up Appointments: Coordinate follow-up appointments, reach out to members who missed their appointments, and assist with rescheduling to keep everything on track.
  • New Member Enrollments: Assist with the onboarding process, including verifying member eligibility, confirming necessary information, and scheduling initial appointments.
  • Provide remote support to our Member Care & Growth Managers (Acquisitions team) by performing lead outreach and following up with missed initials to reschedule them.
  • Manage Inbound/Outbound Communications: Handle phone calls, voicemails, emails, and member app messages with patience and a smile, providing timely and accurate responses.
  • Cross-Department Coordination: Collaborate with other departments to address member concerns and ensure comprehensive and effective solutions.
  • Billing Coordination: Work closely with our billing partners to ensure prior authorization tasks are created and not missed, facilitating smooth processing of member enrollments and services.
  • Lead Outreach: Provide remote support to our acquisitions team by performing lead outreach and follow-up with missed initial appointments, ensuring a seamless enrollment process.
Skills and Attributes
  • Empathy and Professionalism: Understand members' needs and respond with empathy and professionalism.
  • Communication: Showcase excellent written and verbal communication skills for clear and effective interactions.
  • Adaptability: Be flexible and open to change in the fast-paced healthcare environment.
  • Problem-Solving: Think quickly to provide solutions to member issues, ensuring a seamless experience.
  • Team Collaboration: Work harmoniously with other departments to offer comprehensive support and care.
  • Promote Enara's Values: Model a compassionate, honest, positive, and open attitude. Use your communication skills to motivate, empower, and inspire others, contributing to our vibrant Enara culture.
Minimum Requirements
  • Minimum of 1 year related work experience in healthcare.
  • Proficiency in Google Suite (Documents, Sheets, Forms).
  • Proficiency with medical technology, including EMR and mobile apps.
  • Must live within commuting distance to Rochester, MN
Impress Us Even More
  • Passionate about Obesity Medicine, nutrition, fitness, behavioral health
Job Type: Part-time, hybrid (approx 15-20 hours a week)
 
Job Location: Rochester, MN

We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.