Healthcare Review Specialist

Job Description

Job Description

Salary : 50,000.00

Healthcare Review Specialist

Full-Time Requires on-call (remote) coverage that includes evenings, holidays and weekends on a rotating schedule

MMRO is seeking a detail-oriented and professional Healthcare Review Specialist to support the lifecycle of independent medical review cases. This role serves as the critical liaison between referring parties, Physicians and Nurses, ensuring each case is accurately received, assessed, set up, and documented.

This position includes rotating on-call weekend availability (typically 23 hours) and occasional evening or holiday coverage.

Key Responsibilities

• Receive and triage incoming medical review requests
• Review requests for case type, completeness, and conflict of interest
• Set up medical files and document cases in internal systems / portal
• Serve as primary liaison between clients, Physicians & Nurses
• Ensure all information is handled in alignment with confidentiality protocols
• Participate in rotating on-call coverage as scheduled

Required Qualifications

Preferred Qualifications

Why Join MMRO?

A Cover Letter is Required to be considered for this role.