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Resume Reviewer Jobs (NOW HIRING)

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Reviewer II, Medical

Carolina, RI · On-site +1

After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with ...

Ourhrconnect

Reviewer II, Medical

Carolina, RI · On-site +1

After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with ...

NEMEAN SOLUTIONS LLC

GENERAL RESUME

Sierra Vista, AZ · On-site

Our recruitment team will review your resume and reach out to you if there is a suitable opportunity available. Benefits: Medical, Dental, and Vision insurance plans, Paid Time Off, sick leave, 401k ...

MedAmerica, Inc.

Medical Content Reviewer

Sacramento, CA · On-site

$60/hr

Resume and cover letter required upon applying. * Eligibility to work in the U.S. * Expertise and experience in healthcare. * Experience using G-Suite (e.g. Google Sheets, etc.). * English language ...

Zelis

Clinical Nurse Reviewer

Saint Petersburg, FL

You are more than just your resume; you are a reflection of your achievements, the knowledge you've gained, and the personal interests that shape who you are. Position Overview The Nurse Reviewer is ...

Zelis

Clinical Nurse Reviewer

Saint Petersburg, FL · On-site

You are more than just your resume; you are a reflection of your achievements, the knowledge you've gained, and the personal interests that shape who you are. Position Overview The Nurse Reviewer is ...

Ariel Partners

Resume Sourcing Specialist

New York, NY · Remote

We are currently looking for a motivated Part-Time Resume Sourcing Specialist to assist in finding ... Review candidate profiles to assess fit for open positions. * Maintain and update candidate ...

Zelis

Clinical Nurse Reviewer

Boston, MA · On-site

You are more than just your resume; you are a reflection of your achievements, the knowledge you've gained, and the personal interests that shape who you are. Position Overview The Nurse Reviewer is ...

Zelis

Clinical Nurse Reviewer

Saint Louis, MO · On-site

You are more than just your resume; you are a reflection of your achievements, the knowledge you've gained, and the personal interests that shape who you are. Position Overview The Nurse Reviewer is ...

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How much do resume reviewer jobs pay per hour?

As of Jul 19, 2026, the average hourly pay for resume reviewer in the United States is $29.88, according to ZipRecruiter salary data. Most workers in this role earn between $22.60 and $36.54 per hour, depending on experience, location, and employer.

What are typical daily tasks and responsibilities for a Resume Reviewer?

A typical day for a Resume Reviewer involves analyzing and evaluating candidate resumes for clarity, relevance, and adherence to industry standards. You may provide tailored feedback or suggestions for improvement, ensuring resumes align with employer expectations and pass through ATS filters. Collaboration with recruiters, career counselors, or job seekers is common to clarify goals and refine application materials. Additionally, Resume Reviewers often stay updated on evolving hiring trends to offer the most current advice, making their work dynamic and rewarding for those who enjoy helping others succeed.

What are the key skills and qualifications needed to thrive in the Resume Reviewer position, and why are they important?

To thrive as a Resume Reviewer, you need strong attention to detail, knowledge of current resume best practices, and experience in recruitment or human resources. Familiarity with applicant tracking systems (ATS), resume parsing software, and industry-specific style guides is often required. Excellent written communication, critical thinking, and the ability to provide constructive feedback are valuable soft skills in this role. These qualities ensure that candidates receive effective guidance and that resumes meet the criteria demanded by hiring managers and automated recruitment systems.

What is a Resume Reviewer job?

A Resume Reviewer evaluates job applicants' resumes to ensure they are clear, professional, and tailored to specific roles. They check for formatting, grammar, relevant experience, and keyword optimization to improve a candidate's chances of getting noticed by recruiters and applicant tracking systems. Resume Reviewers may work for recruitment agencies, career coaching services, or as independent consultants. Their goal is to help job seekers present their skills and experience effectively to potential employers.

More about Resume Reviewer jobs
What cities are hiring for Resume Reviewer jobs? Cities with the most Resume Reviewer job openings:
What are the most commonly searched types of Resume Reviewer jobs? The most popular types of Resume Reviewer jobs are:
What states have the most Resume Reviewer jobs? States with the most job openings for Resume Reviewer jobs include:
What job categories do people searching Resume Reviewer jobs look for? The top searched job categories for Resume Reviewer jobs are:
Resume Reviewer jobs near you
Infographic showing various Resume Reviewer job openings in the United States as of July 2026, with employment types broken down into 64% Full Time, 33% Part Time, and 3% Contract. Highlights an 97% In-person, and 3% Remote job distribution, with an average salary of $62,159 per year, or $29.9 per hour.
Reviewer II, Medical

Reviewer II, Medical

BlueCross BlueShield of South Carolina

Remote

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 8 days ago

BlueCross BlueShield of South Carolina rating

7.4

Company rating: 7.4 out of 10

Based on 67 frontline employees who took The Breakroom Quiz

210th of 281 rated insurance

Job description

Summary
Performs medical reviews using clinical/medical information provided by physicians/providers and established criteria/protocol sets or clinical guidelines. Documents decisions using indicated protocol sets or clinical guidelines. Provides support and review of medical claims and utilization practices.
Description
Logistic: Palmetto GBA - one of BlueCross BlueShield's South Carolina subsidiary companies.
Location:
This position is full-time (40 hours/week) Monday through Friday in a typical office environment. This role is remote position for South Carolina, Georgia, North Carolina or Alabama.
What You'll Do:
  • Perform medical claim reviews for one or more of the following: claims for medically complex services, services that require preauthorization/predetermination, requests for appeal or reconsideration, referrals for potential fraud and/or abuse, correct coding for claims/operations. Make reasonable charge payment determinations based on clinical/medical information and established criteria/protocol sets or clinical guidelines. Determine medical necessity and appropriateness and/or reasonableness and necessity for coverage and reimbursement. Monitors process's timeliness in accordance with contractor standards. Document medical rationale to justify payment or denial of services and/or supplies.
  • Educate internal/external staff regarding medical reviews, medical terminology, coverage determinations, coding procedures, etc. in accordance with contractor guidelines.
  • Participate in quality control activities in support of the corporate and team-based objectives. Provide guidance, direction, and input as needed to LPN team members. Provides education to non-medical staff through discussions, team meetings, classroom participation, and feedback. Assists with special projects and specialty duties/responsibilities as assigned by management.
To Qualify for This Position, You'll Need the Following:
  • Required Education: Associate's in a job related field
  • Degree Equivalency: Graduate of Accredited School of Nursing.
  • Required Licenses and Certificates: Active RN licensure in state hired, OR, active compact multistate RN license as defined by the Nurse Licensure Compact (NLC).
  • Required Work Experience: 2 years clinical experience.
  • Required Skills and Abilities: Working knowledge of word processing software. Ability to work independently, prioritize effectively, and make sound decisions. Good judgment skills. Demonstrated customer service and organizational skills. Demonstrated oral and written communication skills. Analytical or critical thinking skills. Ability to handle confidential or sensitive information with discretion.
  • Required Software and Other Tools: Microsoft Office.
Our comprehensive benefits package includes the following:
We offer our employees great benefits and rewards. You will be eligible to participate in the benefits the first of the month following 28 days of employment.
  • 401(k) retirement savings plan with company match
  • Subsidized health plans, dental and vision coverage
  • Life insurance
  • Paid Time Off (PTO)
  • Nine paid holidays
  • On-site cafeterias and fitness centers in significant locations
  • Wellness programs and a healthy lifestyle premium discount
  • Tuition assistance
  • Service Recognition

What We Can Do for You:
We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company.
What to Expect Next:
After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements.
Management will conduct interviews with those candidates who qualify, with prioritization given to those candidates who demonstrate the preferred qualifications.
Equal Employment Opportunity Statement
BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations.
We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company.
If you need special assistance or an accommodation while seeking employment, please email mycareer.help@bcbssc.com or call 800-288-2227, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.
We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information.
Some states have required notifications. Here's more information.

What BlueCross BlueShield of South Carolina employees say

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Get the full story on Breakroom

BlueCross BlueShield of South Carolina logo

About BlueCross BlueShield of South Carolina

Sourced by ZipRecruiter

BlueCross BlueShield of South Carolina, headquartered in Columbia, SC, USA, is a major stakeholder in the country's healthcare sector. The company holds the distinction of being one of the largest health insurers in South Carolina. As an independent licensee of the BlueCross BlueShield Association, it offers an extensive range of health insurance products and services, focusing not just on medical coverage, but also on dental, vision, and other supplementary health options. The company was founded in 1946 and has since established itself as a trusted leader in the health sector, committed to affordability, accessibility, and customer service. Their mission is to ensure that all South Carolinians have access to high-quality healthcare and exemplify the core values of accountability, transparency, and commitment to customer satisfaction.

Industry

Insurance services

Company size

10,000+ Employees

Headquarters location

Columbia, SC, US

Year founded

1946

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