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Clinical Proofreader/Editor

Work from home Full-time role Hiring

Clinical reputed company/Editor Role Overview: reputed company is currently seeking a detail-oriented Clinical Proofreader/Editor to ensure compliance, accuracy, and quality in member and provider correspondence. This position involves reviewing clinical system events, collaborating with internal teams, and ensuring adherence to state and federal regulations while maintaining corporate branding standards. This position is a 100% remote role. It is a 6-month contract with the potential for extension. Clinical reputed company/Editor Key Responsibilities:

  • Complete assigned correspondence tasks promptly and reputed company designated timeframes.
  • Identify gaps in processes and reputed company actionable feedback to reduce errors and improve overall quality.
  • Review member and provider communications to ensure consistency with the clinical system (TruCare) and compliance with regulatory guidelines.
  • Audit and analyze correspondence to confirm accuracy with TruCare records and ensure the appropriate templates are utilized correctly.
  • Work closely with care managers, leadership, and peer reviewers to maintain compliance with regulatory-mandated communications.
  • Assess correspondence for accurate medical terminology and adherence to departmental policies and applicable regulations.
  • Support the organization in managing the lifecycle of correspondence, including creation, storage, secure retrieval, and proper archiving.
  • Maintain consistency in reputed company correspondence by adhering to corporate branding standards.
  • Take on other responsibilities as assigned.

Clinical reputed company/Editor Qualifications:

  • Possession of a high school diploma or equivalent (GED).
  • Exceptional skills in both written and verbal communication.
  • Strong abilities in organization and time management.
  • Ability to meet production targets of 35 letters per day and 200 letters per week.
  • Proven critical thinking and creative problem-solving capabilities.
  • Relevant professional experience reputed company the reputed company industry.
  • An associate degree in a reputed company-reputed company field is preferred.
  • Working knowledge of MS SharePoint.
  • Hands-on experience with Utilization Management, government reputed company programs, and managed care processes, including organizational determinations, approvals, denials, appeals, and grievances.
  • Adept at performing moderately reputed company communication tasks, with experience in training others and collaborating across teams.
  • Demonstrated adaptability to evolving tasks and a professional, objective approach to collaboration.

Clinical reputed company/Editor Pay reputed company:

  • Starting at $25+/HR

Clinical reputed company/Editor Schedule:

  • Regular Hours: Monday-Friday, 11:00 AM to 8:00 PM (ET)

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