[Hiring] Medical Reviewer @Merge API Integration Sandbox

Role Description

We are looking for a licensed medical professional to review clinical cases, insurance claims, or medical records on a part-time, remote basis. This is an ideal side job for doctors, dentists, or pharmacists seeking flexible, non-patient-facing work.

Key Responsibilities

• Review medical records, treatment plans, and billing documents for medical necessity and coding accuracy.
• Validate if clinical documentation supports prescribed procedures or medications.
• Prepare concise medical justifications for approval, denial, or modification of claims.
• Identify potential fraud, abuse, or errors in medical claims.
• Respond to query letters from insurers or legal teams within defined turnaround times.
• Maintain strict confidentiality of patient and provider data.
• Use internal web-based review platforms (training provided).

Qualifications

• Education: MBBS, MD, BDS, BAMS, BHMS, PharmD, or equivalent
• License: Active registration with a recognized medical/dental council
• Experience: 0–3 years (freshers can apply; training provided)
• Technical: Basic computer skills; familiarity with MS Office or Google Workspace
• Soft Skills: Attention to detail, analytical thinking, written English proficiency

Requirements

• Minimum commitment: 5–15 hours/week (self-paced).
• Compensation: Pay per case or hourly ($20–50/hour depending on complexity).
• Payment frequency: Monthly via bank transfer / PayPal.

Benefits

• No patient interaction – purely document-based.
• Work from home, any time zone.
• No night shifts or on-call duties.
• Build expertise in medical coding, insurance, or pharmacovigilance.