Medical reviewer job descriptionjob summary: we are seeking a highly skilled medical reviewer to join our team.key responsibilities:conduct thorough reviews of medical records and service requests to ensure compliance with reimbursement policies and medical necessity.collaborate with physicians and healthcare teams to provide expert clinical guidance and support.identify and address potential denials or payment issues, escalating matters as necessary to ensure timely resolution.communicate effectively with third-party payors, patients, families, and internal stakeholders to facilitate efficient denial resolution processes.prioritize and manage multiple tasks simultaneously, maintaining high productivity levels in a fast-paced environment.required competencies and skills:strong analytical and problem-solving skills, with the ability to think critically and make sound judgments.excellent written and verbal communication skills, with the ability to convey complex information in a clear and concise manner.maintains confidentiality and discretion when handling sensitive patient information.bachelor's degree in a related field (e.g. healthcare administration, public health) or equivalent experience.3+ years of experience in medical review, case management, or utilization review preferred.benefits:we offer a competitive salary, annual performance-based bonus, and standard industry benefits package.about the role:this is an exciting opportunity to work in a dynamic healthcare setting, collaborating with cross-functional teams to drive business outcomes and improve patient care.as a medical reviewer, you will play a critical role in ensuring the accuracy and integrity of medical records, while also providing valuable insights to inform business decisions.if you are a motivated and detail-oriented professional with a passion for healthcare, we encourage you to apply for this challenging and rewarding role.