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Remote Medical Reviewer Jobs in Puerto Rico (NOW HIRING)

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 ...

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 ...

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 ...

All JobsMedical Reviewer JobsRemote Medical Reviewer JobsRemote Medical Reviewer Jobs in Puerto Rico

Remote Medical Reviewer information

What is a remote medical reviewer?

A Remote Medical Reviewer evaluates medical records, claims, or cases to ensure accuracy, compliance, and appropriate medical decision-making. They typically work for insurance companies, healthcare organizations, or third-party review agencies. This role involves analyzing documentation, applying clinical guidelines, and providing recommendations based on medical expertise. It requires a background in healthcare, such as nursing or medicine, along with strong analytical and communication skills. The job is performed remotely, allowing flexibility while maintaining high standards of medical review.

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

A Remote Medical Reviewer requires a strong background in healthcare, such as a nursing or pharmaceutical degree, along with in-depth knowledge of clinical guidelines and regulatory standards. Familiarity with electronic medical record (EMR) systems, coding software, and industry certifications like RHIA or CCS is often necessary. Exceptional attention to detail, analytical thinking, and clear written communication are vital soft skills for this role. These competencies ensure accurate and timely medical review decisions that impact patient care and regulatory compliance.

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

Remote Medical Reviewers often encounter challenges such as reviewing complex cases with limited background information and keeping up with frequent updates to medical regulations and insurance policies. Staying organized, participating in continuing education, and leveraging robust digital communication tools can help you overcome these obstacles. You'll also need to be self-motivated and comfortable working independently, as remote teams often collaborate primarily through virtual meetings and secure documentation platforms. Embracing strong time management practices and regularly connecting with colleagues for case discussions can greatly enhance your job performance and satisfaction.

What are popular job titles related to Remote Medical Reviewer jobs in Puerto Rico? For Remote Medical Reviewer jobs in Puerto Rico, the most frequently searched job titles are:
What job categories do people searching Remote Medical Reviewer jobs in Puerto Rico look for? The top searched job categories for Remote Medical Reviewer jobs in Puerto Rico are:
What cities in Puerto Rico are hiring for Remote Medical Reviewer jobs? Cities in Puerto Rico with the most Remote Medical Reviewer job openings:
Remote Medical Reviewer jobs near you
Infographic showing various Remote Medical Reviewer job openings in Puerto Rico as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 15% Part Time, 2% Temporary, and 5% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution.

Remote Administrator on Call PR

LifeLink

Guaynabo, PR • On-site, Remote

Full-time

Medical, Dental, Life, Retirement, PTO

Posted 26 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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