Medical Claims Consultant

Company Overview

The Enlyte Family of Businesses

Mitchell | Genex | Coventry

Enlyte is the parent brand of Mitchell, Genex and Coventry, an organization unlike any other in the Property & Casualty industry, bringing together three great businesses with a shared vision of using technology innovation, clinical services and network solutions to help our customers and the people they serve. Our suite of products and services enable our employees to help people recover from challenging life events, while providing opportunities for meaningful impact and career growth.

Job Description

Analyzes medical records and medical bills for relatedness and causality for clients. Reviews medical records to evaluate care and status of the claimant. Conducts medical journal research. Provides clients with medical evidence preparation and organization. Examines issues, omissions and discrepancies in medical records. Prepares case summaries. This part time role will be paid hourly for time worked. Hours will vary between a minimum of 8 hours per month up to100 hours per month depending on the need of the team.

Qualifications

Licenses or Certifications:

• You must be a registered nurse (RN) with a license in the state you reside
  
  
  

Experience:

• Mitchell’s Medical Claims Consultants are Registered Nurses and will typically have at least 3 years clinical experience and one year as a reviewer
  
  
  

Written Abilities:

• Proficient grammar, sentence structure, and written communication skills required
  
  
  

Benefits

We’re committed to supporting your ultimate well-being through our total compensation package offerings that support your health, wealth and self. These offerings include Medical, Dental, Vision, Health Savings Accounts / Flexible Spending Accounts, Life and AD&D Insurance, 401(k), Tuition Reimbursement, and an array of resources that encourage a lifetime of healthier living. Benefits eligibility may differ depending on full-time or part-time status. Compensation depends on the applicable US geographic market. The expected base pay for this position pays $40/hr, and will be based on a number of additional factors including skills, experience, and education.

The Company is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.

Don’t meet every single requirement? Studies have shown that women and underrepresented minorities are less likely to apply to jobs unless they meet every single qualification. We are dedicated to building a diverse, inclusive, and authentic workplace, so if you’re excited about this role but your past experience doesn’t align perfectly with every qualification in the job description, we encourage you to apply anyway. You may be just the right candidate for this or other roles.