(Remote – U.S.)

🧾 About the Role
Enlyte is looking for a part-time Medical Claims Consultant to join its clinical review team. This remote RN role is ideal for nurses with strong analytical skills and a knack for medical records review. You’ll assess medical claims for causality and relatedness, supporting injury claims with clear, well-documented evidence. Hours will vary monthly based on team needs.


Position Highlights
• Part-time, remote
• Variable schedule: 8 to 100 hours/month
• Department: Medical Services & Support
• Requisition Number: 17904
• Salary Range: $65,000 – $80,000 annually (prorated, based on experience, skills, and location)


📋 What You’ll Own
• Review and analyze medical records and billing for accuracy and injury relevance
• Identify discrepancies, omissions, or red flags in medical documentation
• Conduct medical journal research to support evidence-based case decisions
• Prepare clear, detailed case summaries and medical evidence packages
• Support clients in resolving complex injury claims


🎯 Must-Have Traits
• Active RN license in your state of residence
• At least 3 years of clinical experience
• Minimum 1 year of medical review experience
• Strong writing and documentation skills (grammar, structure, clarity)
• Comfortable working independently and managing flexible hours


💻 Remote Requirements
• Secure home office with reliable internet
• Ability to maintain HIPAA compliance and protect sensitive data
• Self-motivated and able to manage time across varying monthly workloads


💡 Why It’s a Win for Remote Job Seekers
• Ideal for nurses seeking flexible, project-based work
• Do meaningful, detail-oriented work without returning to bedside
• Access to Enlyte’s health, financial, and wellness benefits (eligibility based on hours)
• Work alongside a compassionate team that values clinical accuracy and care continuity


✍️ Call to Action
If you’re a registered nurse with an investigative eye and a passion for evidence-based care, this role offers a flexible way to make a difference from home. Join Enlyte and help bring clarity and integrity to medical claims review.

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