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Remote Medical Record Review Jobs in Puerto Rico

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

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

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All JobsMedical Record Review JobsRemote Medical Record Review JobsRemote Medical Record Review Jobs in Puerto Rico

Remote Medical Record Review information

What is a remote medical record review?

A Remote Medical Record Review job involves analyzing and evaluating patient medical records to ensure accuracy, compliance, and quality. Professionals in this role often work for insurance companies, healthcare organizations, or legal firms to assess documentation for billing, coding, or legal purposes. Responsibilities may include reviewing diagnoses, treatments, and patient history to verify compliance with regulations and guidelines. This job is typically performed from home using secure online systems, requiring strong attention to detail, medical knowledge, and familiarity with health records. Experience in nursing, medical coding, or health information management is often beneficial.

What are the key skills and qualifications needed to thrive in remote medical record review?

To succeed as a Remote Medical Record Review professional, you typically need a background in healthcare, strong attention to detail, and proficiency in reviewing and interpreting medical documentation. Experience with electronic health records (EHR) systems, knowledge of medical terminology, and certifications like RHIT or CPC are often required. Strong analytical thinking, time management, and effective communication skills are highly valued in this remote setting. These abilities ensure that medical records are accurately evaluated for completeness and compliance, contributing to high-quality healthcare delivery and regulatory adherence.

What does a typical workday look like for someone in remote medical record review?

A typical day for a Remote Medical Record Review professional involves carefully auditing electronic patient records for accuracy, completeness, and compliance with healthcare regulations. You may collaborate virtually with physicians, nurses, and coding specialists to resolve discrepancies and ensure proper documentation. The schedule is often flexible, but strong organizational skills are needed to manage caseloads and meet deadlines. Most work can be done independently, though regular communication with healthcare teams or supervisors is usually required for complex cases or updates. This role offers the opportunity to make a direct impact on patient care quality while enjoying the benefits of remote work.

What are popular job titles related to Remote Medical Record Review jobs in Puerto Rico?

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

What job categories do people searching Remote Medical Record Review jobs in Puerto Rico look for?

The top searched job categories for Remote Medical Record Review jobs in Puerto Rico are:

Remote Medical Record Review jobs near you
Infographic showing various Remote Medical Record Review job openings in Puerto Rico as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 14% Part Time, and 5% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution.

Case Review Representative

OncoHealth

Guaynabo, PR • On-site, Remote

$13 - $15/hr

Full-time

Re-posted 21 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.

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