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4 Corner Resources

Clinical Proofreader Editor

OtherContractMid-Level
Location
Worldwide
Job Type
Contract
Experience
Mid-Level
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Job Description

ABOUT THE ROLE 4 Corner Resources is seeking a detail-oriented Clinical Proofreader/Editor to ensure compliance, accuracy, and quality in member and provider correspondence. This role involves reviewing clinical system events, collaborating with internal teams, and ensuring adherence to state and federal regulations while maintaining corporate branding standards. As a 6-month contract with the potential for extension, this position offers a unique opportunity to work remotely and contribute to the organization's success. WHAT YOU'LL DO As a Clinical Proofreader/Editor, you will be responsible for completing assigned correspondence tasks promptly and within designated timeframes. This includes reviewing member and provider communications to ensure consistency with the clinical system (TruCare) and compliance with regulatory guidelines. You will also audit and analyze correspondence to confirm accuracy with TruCare records and ensure the appropriate templates are utilized correctly. Additionally, you will work closely with care managers, leadership, and peer reviewers to maintain compliance with regulatory-mandated communications and support the organization in managing the lifecycle of correspondence. WHAT YOU'LL NEED To succeed in this role, you will need to possess a high school diploma or equivalent (GED) and exceptional skills in both written and verbal communication. Strong abilities in organization and time management are also essential, as is the ability to meet production targets of 35 letters per day and 200 letters per week. Relevant professional experience within the healthcare industry is preferred, and an associate degree in a healthcare-related field is also desirable. You should have working knowledge of MS SharePoint and hands-on experience with Utilization Management, government healthcare programs, and managed care processes. WHY REMOTE This position is a 100% remote role, offering the flexibility to work from anywhere. The regular hours are Monday-Friday, 11:00 AM to 8:00 PM (ET), allowing for a comfortable and productive work environment. BENEFITS The starting pay rate for this position is $25+/HR, providing a competitive compensation package.