Medical Review Specialist

Medlogix

Medical Review Specialist reviewing medical bills for appropriate reimbursements. Working in a remote capacity while serving clients in medical claims for auto and workers’ compensation insurance.

Posted 7/2/2026full-timeRemote • Missouri • 🇺🇸 United StatesJunior💰 $48,000 - $55,000 per yearWebsite

About the role

Key responsibilities & impact

Reviews medical bills and documentation according to guidelines and RW policies and procedures.
Determines if treatment is related and necessary to the covered injury.
Advises reimbursement recommendations are appropriate.
Provides customer service to adjusters, providers, and claimants regarding bill review.
Assesses appropriateness and duration of care provided, for possible utilization review.
Recommends independent medical evaluations (IME) to adjusters when necessary.
Act as a resource to other staff members to facilitate completion of a quality product.
Use appropriate reference material as necessary to perform professional review.
Meets company productivity standards.
Meets company quality standards.

Requirements

What you’ll need

1+ years medical coding experience – CPT, ICD-10 - preferred
1+ years’ experience in Medical Bill Repricing – preferred
Michigan Workers' Compensation experience- preferred
Certified Professional Coder – a plus but not required
Ability to apply clinical knowledge and/or coding expertise in bill review
Ability to read, write, speak, and understand English well
Ability to understand and follow written and oral instructions
Possess strong verbal and interpersonal skills
Ability to multi-task
Possess problem-solving skills
Ability to sit for long periods at a computer terminal keyboarding
PC skills – required
Knowledge of Microsoft Office Products – required
Ability to operate standard office equipment including telephone

Benefits

Comp & perks

🌐 Worldwide ❌ Jobs You've Hidden ⭐️ Saved Jobs ✅ Applied Jobs ✉️ Email Alerts 👤 Account Medlogix Website LinkedIn All Job Openings 201 - 500 employees ⚕️ Healthcare Insurance 🤝 B2B 💰 Private Equity Round on 2017-06 Healthcare Insurance
B2B
Workers Compensation Medlogix is a company that specializes in providing comprehensive medical services, including workers' compensation, auto medical services, and group health services. They offer online referral systems and eBilling solutions to streamline the management of medical claims. With a focus on technology, Medlogix employs innovative platforms like MyMedlogix™ and MedlogixU™ to enhance their services and ensure exceptional client experiences. Medical Review Specialist 🔥 3 hours ago 🚗 Michigan – Remote 💵 $48k - $55k / year ⏰ Full Time 🟢 Junior 🔍🏥 Medical Reviewer Apply Now Find Hiring Managers Customize resume + cover letter Report problem ☆ Save ☑️ Mark as applied ❌ Hide 📋 Description
Reviews medical bills and documentation according to guidelines and RW policies and procedures.
Determines if treatment is related and necessary to the covered injury.
Advises reimbursement recommendations are appropriate.
Provides customer service to adjusters, providers, and claimants regarding bill review.
Assesses appropriateness and duration of care provided, for possible utilization review.
Recommends independent medical evaluations (IME) to adjusters when necessary.
Act as a resource to other staff members to facilitate completion of a quality product.
Use appropriate reference material as necessary to perform professional review.
Meets company productivity standards.
Meets company quality standards. 🎯 Requirements
1+ years medical coding experience – CPT, ICD-10 - preferred
1+ years’ experience in Medical Bill Repricing – preferred
Michigan Workers' Compensation experience- preferred
Certified Professional Coder – a plus but not required
Ability to apply clinical knowledge and/or coding expertise in bill review
Ability to read, write, speak, and understand English well
Ability to understand and follow written and oral instructions
Possess strong verbal and interpersonal skills
Ability to multi-task
Possess problem-solving skills
Ability to sit for long periods at a computer terminal keyboarding
PC skills – required
Knowledge of Microsoft Office Products – required
Ability to operate standard office equipment including telephone Apply Now 📊 Check your resume score for this job Improve your chances of getting an interview by checking your resume score before you apply. Check Resume Score Similar Jobs RN Medical Reviewer II 🕒 Yesterday Palmetto GBA 1001 - 5000 ⚕️ Healthcare Insurance 🏛️ Government 🤝 B2B Website LinkedIn All Job Openings RN Medical Reviewer II at Palmetto GBA conducting medical reviews for complex claims. Ensuring compliance with clinical guidelines and providing educational support. 🇺🇸 United States – Remote ⏰ Full Time 🟢 Junior 🟡 Mid-level 🔍🏥 Medical Reviewer 🦅 H1B Visa Sponsor RN Medical Reviewer II 🕒 Yesterday BlueCross BlueShield of South Carolina 10,000+ employees ⚕️ Healthcare Insurance 💸 Finance Website LinkedIn All Job Openings RN Medical Reviewer II performing medical reviews for claims at BlueCross BlueShield. Requires clinical experience and active RN license in the state hired. 🇺🇸 United States – Remote ⏰ Full Time 🟢 Junior 🟡 Mid-level 🔍🏥 Medical Reviewer Medical Records Review Specialist – Women's Health 🕒 June 25 SeedTrust Escrow 51 - 200 💳 Fintech ☁️ SaaS Website LinkedIn All Job Openings Evaluating patients' medical records to assess eligibility for surrogacy candidacy. Providing direction to clinical teams and collaborating on complex cases in a completely remote role. 🇺🇸 United States – Remote ⏰ Full Time 🟢 Junior 🟡 Mid-level 🔍🏥 Medical Reviewer Medical Claim Reviewer, CGS, DMEC 🕒 June 24 Simsy Ventures 11 - 50 🤝 B2B Website LinkedIn All Job Openings Medical Claim Reviewer conducting pre- and post-payment medical reviews in the U.S. for Broadway Ventures. Assessing medical necessity and compliance with established guidelines. 🇺🇸 United States – Remote 💵 $65k / year ⏰ Full Time 🟢 Junior 🟡 Mid-level 🔍🏥 Medical Reviewer Genetic Counselor, Clinical Reviewer 🕒 May 30 The Cigna Group 10,000+ employees ⚕️ Healthcare Insurance 💊 Pharmaceuticals Website LinkedIn All Job Openings Genetic Counselor Clinical Reviewer responsible for evaluating genetic testing requests and authorizing coverage. Ensuring expert advice is available for physicians and labs regarding genetic testing. 🇺🇸 United States – Remote 💵 $73.2k - $122k / year ⏰ Full Time 🟢 Junior 🟡 Mid-level 🔍🏥 Medical Reviewer View More Medical Reviewer Jobs 🌐 Worldwide Built by Lior Neu-ner. I'd love to hear your feedback — Get in touch via DM or support@remoterocketship.com Search Search Jobs by country Search jobs by city Search jobs by job title Search entry-level jobs Search junior-level jobs Search senior-level jobs Search jobs by tech stack Search jobs by contract type Search remote internships Search remote part-time jobs Remote jobs Anywhere in the World Companies Hiring Anywhere in the World Companies Hiring Sales People Anywhere in the World Companies Hiring Software Engineers Anywhere in the World Resources Advice Tips for finding remote jobs Interview questions and answers Resume examples Cover letter examples Post a job Affiliates Privacy policy Terms of service Job board SEO course AI Apply Copilot OpenClaw job finder Jobs by Country Remote jobs anywhere in the world (Worldwide remote jobs) Remote jobs United States Remote jobs Australia Remote jobs Brazil Remote jobs Canada Remote jobs France Remote jobs Ireland Remote jobs Germany Remote jobs Netherlands Remote jobs Spain Remote jobs UK Popular Jobs Remote data analyst jobs Remote customer support jobs Remote executive assistant jobs Remote marketing jobs Remote product designer jobs Remote product manager jobs Remote project manager jobs Remote recruiter jobs Remote sales jobs Remote software engineer jobs Jobs by Type Remote full-time jobs Remote part-time jobs Remote contract jobs Remote internship jobs Remote entry-level jobs Remote jobs with no experience required Remote junior jobs (1-3 years of experience) Digital nomad jobs Remote jobs with no degree required Freelance remote jobs Temporary remote jobs Remote jobs hiring now Stay at home mom jobs

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Applicant Tracking System Keywords

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Hard Skills & Tools

Medical Bill ReviewClinical Knowledge ApplicationUtilization ReviewIndependent Medical EvaluationsProblem-Solving Skills

Soft Skills

Strong Verbal SkillsInterpersonal SkillsMulti-Tasking AbilityAbility to Follow Instructions

Certifications

Certified Professional Coder