Medical Review Specialist

Job Description:

Now hiring for a Medical Review Specialist

Location: Atlanta, GA

Pay Rate: $25.00 per hour

Schedule: 8:30 AM - 5 PM

Find more than a Medical Review Specialist job with Staffmark - find a team that values your time, talent, and potential.

Looking for Medical Review Specialist jobs in Atlanta where your skills can make a real impact? This opportunity offers the chance to contribute to a growing team, develop your experience, and build a rewarding career in a professional work environment.

If your skills and experience are a good match for this role please apply today. This opportunity is being offered by Staffmark to qualified candidates.

Job Duties

• Review medical records, billing documents, and claims to prepare accurate reports using industry guidelines and client requirements.
• Process medical claims by identifying billing types and entering data into review systems for adjudication and analysis.
• Apply CPT, ICD-10, CMS, fee schedule, and coding guidelines to ensure accurate claim reviews and billing compliance.
• Perform quality assurance reviews to verify accuracy, completeness, and regulatory compliance before finalizing reports.
• Communicate with clients to resolve missing information, billing discrepancies, report status requests, and claim-related questions.
• Maintain organized documentation and ensure all records are audit-ready while adhering to HIPAA, state, and federal regulations.

Requirements

• Current certification in OASIS, RAC-CT, or CCS required.
• Strong knowledge of medical billing, coding, fee schedules, CPT, ICD-10, CMS guidelines, utilization review, and billing compliance standards.
• Experience reviewing various claim types, including physician, hospital, surgical center, drug, and supply charges.
• Proficiency with Microsoft Office Suite (Word, Excel, Outlook), internet applications, and general office equipment.
• Ability to type a minimum of 35 WPM and accurately manage detailed data entry tasks.
• Excellent communication, organization, time management, problem-solving, and confidentiality skills with the ability to work independently in a fast-paced environment.

Preferred Skills

• Strong attention to detail and commitment to quality assurance.
• Ability to prioritize multiple assignments and meet deadlines.
• Experience handling provider appeals and claim resolution processes.
• Knowledge of HIPAA compliance and healthcare industry regulations.
• Team-oriented mindset with the ability to adapt to changing workloads and business needs.

Benefits

• Competitive Weekly Pay
• Comprehensive Benefits including medical, dental, and vision coverage.
• Life Insurance and Disability Insurance for added peace of mind.
• Optional 401(k) Plan to help you prepare for the future.
• Opportunities for Growth through a variety of assignments with leading employers.

Marvin's Take? Fast and Straightforward

"They get you on the job fast." - Marvin, Staffmark Associate

What You Will Do

As a Medical Review Specialist you will perform responsibilities that support the daily operations of your assigned employer while following established procedures, quality standards, and workplace safety requirements. Duties may include operating equipment, working with customers, handling materials, preparing documentation, supporting administrative activities, using technology, collaborating with team members, or completing other responsibilities appropriate to the position. Successful Medical Review Specialist professionals demonstrate adaptability, professionalism, attention to detail, and a commitment to producing quality work while contributing to organizational success.

A Medical Review Specialist supports workplace success by completing assigned responsibilities accurately while maintaining professionalism and strong work habits. This role requires organization, flexibility, and the ability to adapt to changing business needs.

The Medical Review Specialist contributes to organizational performance by following procedures, communicating effectively, and maintaining high standards of quality and customer service where applicable.

This profession is ideal for individuals who value teamwork and continuous learning.

About Us

At Staffmark, we connect hardworking people with great companies, creating opportunities that make a lasting impact.

Staffmark is an equal opportunity employer. All applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status, or any other legally protected status. Staffmark offers reasonable accommodations for qualified individuals with disabilities; contact your local branch for inquiries. Staffmark is an E-Verify employer. See our Privacy Notice for Candidates and Employees/Contractors at https://smgroupna.com/privacy-notice-for-candidates-and-employees-contractors. By applying, you consent to receive AI-generated and non-AI-generated calls, texts, or emails from Staffmark Group, its affiliates, and partners. Frequency varies and message/data rates may apply. Reply STOP to cancel or HELP for help.