Medical Claims Review Manager jobs in North Charleston, SC

SUMMARY:

Under general supervision of the Client Services Team Lead, the Medical Review Specialist assists paralegals and attorneys by reviewing and compiling medical and pharmacy records required for specific cases. The Medical Review Specialist will review medical and pharmacy records from facilities either directly or through a third party vendor, and enter their findings into the Case Management system accurately and in a timely manner. The Medical Review Specialist will use their organizational skills, attention to detail, and Case Management system knowledge to ensure all client- and case-related documentation is quickly available to the legal team to aid in their success. The Medical Review Specialist will summarize their findings and report the information to the Paralegal or Attorney.

MINIMUM REQUIREMENTS:

• High school diploma required; institutional degree in related field preferred
• One (1) to four (4) years of progressive work experience in a law firm or comparable field preferred
• Knowledge of medical terminology and/or medical field experience strongly preferred
• Strong communication/interpersonal skills, with ability to follow-up without direction
• Attention to detail & self -motivated
• Ability to grasp concepts, perform internet research & overall competence in navigating programs
• Must be deadline-driven, highly organized, and exude a positive professional demeanor with variety of people
• Strong working knowledge of MS Word, Outlook, Excel

ESSENTIAL DUTIES AND RESPONSIBILITIES:

“Essential duties” are primarily job duties that incumbents must be able to perform unassisted or with some reasonable accommodation made by the employer.

• Clear communication skills
• Review records and other documents for case relevancy
• Ensure that intake information is properly documented in our case management system
• Maintain/update our case management evidence database
• Review and summarize the medical information to relay to the Paralegals or Attorneys
• Works on special projects as needed

WORKING HOURS:

Work may require more than 40 hours per week to perform the duties of the position.

WORKING CONDITIONS:

Work is performed in a normal heated or air-conditioned office environment.

The above is intended to describe the general content of and requirements for the performance of this job. It is not to be construed as an exhaustive statement of essential functions, responsibilities or requirements. This job description must not be misconstrued as a promise of employment, nor deemed as an employment contract.Motley Rice LLC is an Equal Opportunity Employer. We participate in e-verify.

Job Type: Full-time

Pay: $18.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Monday to Friday

Work Location: In person