About the Role
4 Corner Resources is seeking a meticulous and highly organized Clinical Proofreader/Editor to join our team in a 100% remote capacity. This pivotal role is designed for a healthcare professional with a sharp eye for detail who can ensure that all member and provider correspondence meets the highest standards of accuracy, clinical integrity, and regulatory compliance. As a vital link in our quality assurance process, you will be responsible for reviewing clinical system events, verifying data against internal records, and ensuring that every piece of communication reflects our corporate branding and adheres to strict state and federal mandates. This is a 6-month contract opportunity with a strong potential for extension, offering a professional environment where your expertise in clinical documentation will directly impact member satisfaction and operational excellence.
Key Responsibilities- Execute assigned correspondence tasks with precision, ensuring all reviews are completed within designated timeframes to meet organizational deadlines.
- Audit and analyze member and provider communications to verify consistency with the clinical system (TruCare) and ensure the correct application of approved templates.
- Collaborate cross-functionally with care managers, leadership, and peer reviewers to maintain unwavering compliance with regulatory-mandated communications.
- Identify process gaps and provide actionable feedback to internal teams to reduce recurring errors and enhance overall documentation quality.
- Assess all correspondence for the correct use of medical terminology and adherence to departmental policies and applicable government regulations.
- Manage the lifecycle of clinical correspondence, including the secure storage, retrieval, and archiving of sensitive documentation.
- Ensure all outgoing communications align perfectly with corporate branding standards and professional formatting guidelines.
- Maintain high-volume production targets, consistently reviewing approximately 35 letters per day and 200 letters per week.
- A minimum of a High School Diploma or GED; an Associate degree in a healthcare-related field is highly preferred.
- Proven professional experience within the healthcare industry, specifically focusing on managed care or clinical documentation.
- Hands-on experience with Utilization Management (UM) processes, including approvals, denials, appeals, grievances, and organizational determinations.
- Exceptional written and verbal communication skills with an expert-level command of English grammar and medical terminology.
- Strong proficiency in MS SharePoint and experience navigating clinical systems such as TruCare.
- Demonstrated critical thinking and creative problem-solving abilities within a fast-paced environment.
- Ability to work a consistent schedule from Monday to Friday, 11:00 AM to 8:00 PM Eastern Time (ET).
- A professional and objective approach to collaboration, with the ability to adapt to evolving tasks and train others on complex communication standards.
- Competitive hourly pay starting at $25.00 per hour based on experience.
- 100% remote work-from-home flexibility, allowing for a better work-life balance.
- Long-term contract duration (6 months) with significant potential for extension or permanent placement.
- Opportunity to work with a leading recruitment firm and gain experience within a sophisticated healthcare environment.
- Professional growth through involvement in complex regulatory and clinical compliance projects.