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Medical Review Editor

Location: Portland, OR
Job Code: 341
# of Openings: 1

Description

Medical Review Editor

Are you seeking a career growth opportunity with a national leader which is driven by mission to improve the quality and integrity of healthcare? 

AllMed Healthcare Management provides medical, behavioral health and pharmacy peer review solutions to leading health insurance carriers, medical management organizations, TPAs, and PBMs nationwide. Our medical review solutions power prior authorization and appeals decision-making processes for hundreds of clients which provide benefits to over 200 million Americans, and through steady growth AllMed is a recognized leader in this dynamic market.  

 We are currently seeking an experienced Medical Review Editor with superior editing, communication and customer service skills to join our clinical operations team, based out of our office in downtown Portland, Oregon.

Essential Duties and Responsibilities

The Medical Review Editor can be relied upon for multiple functions within the Clinical Operations Department. The primary job functions entail:

  • Organizing clinical documentation; typing, proofing, editing, and formatting medical reviews
  • Providing quality assurance (QA) on medical reviews by verifying adherence to operational processes and documentation/style guidelines
  • Ensuring accuracy of formatting, customer-specific requirements, and invoicing, in an efficient manner
  • Maintaining a balance of accuracy and speed in the preparation and editing/QA of reviews
  • Answering and routing incoming emails and phone calls and providing customer service support as requested
  • Participating in cross functional teams and Lean continuous improvement activities including root cause identification and problem solving to improve processes
  • Maintaining confidentiality and privacy

Knowledge, Experience, Skills, and Abilities

  • Degree required, 4-year university degree in writing, editing, or a healthcare related area is preferred
  • Knowledge and understanding of the healthcare industry, terminology and standards, preferably with at least two years’ experience in a healthcare setting
  • Excellent writing and documentation skills, including high degree of accuracy and attention to detail in spelling, grammar, punctuation, and formatting of professional documents
  • Strong understanding of medical terminology and acronyms
  • A strong customer service orientation and teamwork ethic are essential
  • Computer literacy with demonstrated proficiency in Microsoft Office and email
  • Ability to type at least 40 words per minute
  • High energy and the ability to work at a fast pace in a volume-oriented production environment.

 

Benefits

AllMed offers generous compensation, and our competitive benefits program including comprehensive medical, dental, and vision coverage, matching 401(k), paid time off, disability coverage, HSA and other benefits.

 

AllMed provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, AllMed complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. 





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(800) 400-9916
111 SW Fifth Ave., Suite 1400, Portland, OR 97204
AllMed Healthcare Management, Inc. All rights reserved.

AllMed is an independent review organization with a panel of 400 physician peer reviewers who are licensed, board-certified and in active practice, covering more than 80 ABMS specialties and sub-specialties. AllMed offers medical, copy-editing and customer resources that enable clients to improve quality of care and patient safety.