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Remote Medical Chart Review Jobs in Puerto Rico (NOW HIRING)

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 ...

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 ...

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 ...

Hospital Billing Operator

San Juan, PR · Remote

$18 - $23/hr

As an Epic Hospital Billing Analyst, you will help review and submit hospital claims, resolve billing issues, and work across teams to reduce avoidable denials. This is a primarily remote role ...

$16.75 - $21.50/hr

Review and research insurance follow-up, and denied claims by navigating multiple systems ... Certified Medical Coder * Experience in Account receivable, Insurance and/or Healthcare * ...

Senior Project Engineer

Aguadilla, PR · Remote

$88K - $115K/yr

The work model for this role is: Remote {#LI-Remote} This role is contributing to the ... Choice between two medical plan options: A PPO plan called the Copay Plan OR a High Deductible ...

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 ...

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Remote Medical Chart Review information

How can I make 2000 a week working from home?

A remote medical chart review specialist can potentially earn $2,000 per week by reviewing a high volume of medical records accurately and efficiently, often working flexible hours. Building expertise, obtaining relevant certifications, and using specialized review software can increase earning potential, but income varies based on workload, experience, and employer pay rates.

What is a Remote Medical Chart Review job?

A Remote Medical Chart Review job involves evaluating patient medical records to ensure accuracy, compliance, and completeness. Professionals in this role typically review charts for coding accuracy, quality assurance, or risk adjustment purposes. This position is commonly held by healthcare professionals such as nurses, medical coders, or physicians. Work is done remotely using secure electronic health record (EHR) systems. It requires strong attention to detail, medical knowledge, and familiarity with healthcare regulations.

What are some typical challenges faced by professionals in Remote Medical Chart Review roles?

One common challenge in Remote Medical Chart Review positions is managing large volumes of medical records while maintaining accuracy and compliance with healthcare regulations. Working remotely requires a high degree of self-motivation, time management, and discipline to meet productivity targets and deadlines. Additionally, interpreting diverse documentation styles across facilities can require strong analytical and problem-solving skills. By understanding these aspects, applicants can better prepare for success and find strategies to thrive in this detail-oriented role.

How to make $80,000 a year working from home?

A remote medical chart review professional can earn $80,000 annually by gaining experience, developing strong attention to detail, and working full-time hours. Building expertise in medical coding, billing, or healthcare documentation, along with certification, can increase earning potential. Consistent productivity and efficient use of electronic health record (EHR) systems are also important for reaching higher income levels.

How to become a remote medical scheduler?

To become a remote medical scheduler, candidates typically need strong organizational skills, familiarity with electronic health record (EHR) systems, and experience in healthcare administration. Relevant certifications, such as medical office administration or medical scheduling courses, can enhance prospects, and jobs often require good communication skills and the ability to work independently in a virtual environment.

What are the key skills and qualifications needed to thrive in the Remote Medical Chart Review position, and why are they important?

To thrive as a Remote Medical Chart Review professional, you need a strong knowledge of medical terminology, clinical guidelines, and healthcare documentation, often supported by experience in nursing or health information management. Familiarity with electronic health record (EHR) systems, chart audit tools, and sometimes certification as a Registered Nurse (RN) or Certified Professional Coder (CPC) is typically required. Strong attention to detail, time management, and clear written communication make candidates stand out in this data-focused, independent role. These skills ensure accurate and compliant chart reviews, supporting healthcare quality and risk management while working remotely.

How to become a chart review RN?

To become a chart review RN, you typically need a registered nurse license and experience in clinical settings. Additional skills in medical documentation, coding, and familiarity with electronic health records are important, and some roles may require certification in health information management or coding. Gaining experience in medical record review and understanding healthcare regulations can improve job prospects.
What are popular job titles related to Remote Medical Chart Review jobs in Puerto Rico? For Remote Medical Chart Review jobs in Puerto Rico, the most frequently searched job titles are:
What job categories do people searching Remote Medical Chart Review jobs in Puerto Rico look for? The top searched job categories for Remote Medical Chart Review jobs in Puerto Rico are:
What cities in Puerto Rico are hiring for Remote Medical Chart Review jobs? Cities in Puerto Rico with the most Remote Medical Chart Review job openings:
Infographic showing various Remote Medical Chart Review job openings in Puerto Rico as of July 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution.
Case Review Representative

Case Review Representative

OncoHealth

Guaynabo, PR • On-site, Remote

$13 - $15/hr

Full-time

Posted 18 days ago


Job description

About OncoHealth
OncoHealth is a leading digital health company dedicated to helping health plans, employers, providers, and patients navigate the physical, mental, and financial complexities of cancer through technology enabled services. Supporting more than 14 million people in the US and Puerto Rico, OncoHealth offers digital solutions for treatment review and virtual care across all cancer types.
About the Role
The Case Review Representative serves as a one-stop shop and intake of all calls (members and providers). Resolves tier one issues (user resets, provider data management, fax and letter receipt, general questions).
Primary Responsibilities
  • Flexible to work rotational shifts inside our office hours from 8:00 a.m. – 8:00 p.m. EST to cover the operational needs of the company. Shifts can range anywhere between Monday – Friday 8:00 am to 8:00 pm EST and Saturdays 8:30 am - 5:00 pm EST (Office hours may change/extend upon operational needs)
  • Fax intake and labeling
  • Prior authorization creation
  • Quality Performance Program Outreach when assigned
  • Triage and manage inbound calls, routing case specific calls to an appropriate team member, and resolving tier 1 level issues
  • Triage and manage inbound emails from health plan clients, routing case specific emails to an appropriate team member, and resolving tier 1 level issues
  • Triage request/claims processing issues to health plans as needed Prior authorization creation
  • Quality Performance Program Outreach when assigned
About You
  • College degree or relevant experience preferred
  • Fully Bilingual (English and Spanish)
  • Remote/hybrid work experience preferred
  • A minimum of 2 years of healthcare related administrative experience and/or customer service or relevant educational attainment required
  • Skills for implementation of systems for program effectiveness and productivity required
  • Systems/Tools: MS Office Suite proficient
About the Location
OncoHealth is committed to remote, hybrid or in office work options. Our Team in Puerto Rico reports to the office at least 2 times per month (advance notice provided/mandatory requirement) and can work remotely from home the rest of the days. Employees are welcome to work from the office every day if wanted.

Our Culture

Taking ownership of quick action, critically thinking through the needs, and working well with others are key competencies of team member success. Our leadership is dedicated to building a culture based on respect, clinical excellence, innovation – all with a focused mission of putting patients first!

We offer a full benefit package on your first day, along with a company bonus. You may visit or work from our very modern and engaging offices, and experience a fun, collaborative environment where social activities and community events matter. We enjoy being together!
OncoHealth is committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and team members without regard to race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law. All employment decisions are based on qualifications, merit, and business need.

The Opportunity

The cost of cancer related medical services and prescription drugs in the United States is expected to reach $246 billion by 2030. OncoHealth has enjoyed rapid growth over the past 3 years and seeks smart, collaborative people to join its team. We have just under 250 team members, so we can move swiftly but precisely to the market needs of our customers. Strongly backed financially by Arsenal Capital Partners amp; McKesson Corporation, we remain in an investment and growth mode. This means we are open-minded to how we get the work done – now is the perfect time to talk to us!

Our Current Solutions

Through the use of OncoHealth's utilization management system, OneUM, our customers can use a single e-Prior Authorization portal for all oncology drug request and treatments. Our system improves quality of care, reduces provider abrasion and gives health plans visibility into the total cost of oncology treatment.

OncoHealth offers Oncology Insights Pro, an analytic software solution that enables health plans to use data and analytics to improve oncology programs. Using real world data, our engineers normalize data to create analytic dashboards with drill down compatibilities. The data is the paired with expert guidance providing the strategies an insight needed to keep up with the continuing evolving cancer treatment landscape.

OncoHealth offers Pharmacy Consulting services to health plans and pharmaceutical companies. New cancer treatments are entering the market at an unrelenting pace. Since 2018, the FDA approved 121 new cancer applications including 49 novel cancer drug entities. Our Board-Certified Oncology Pharmacologists can help health plans update drug policies, offer utilization management and formulary advice, and development training for staff.

OncoHealth's latest offering is Iris, a digital telehealth platform that delivers personalized, oncology-specific support to navigate the physical symptoms and emotional challenges caused by cancer and cancer treatment. Powered by technology, staffed 24X7, and delivered with empathy, Iris allows patients to connect with trained oncology experts and receive personalized, oncology-specific telehealth support.