Remote Medical Claims Consultant
Enlyte Group, LLC · United States · US
Utilization Review
Remote
Nurse
Dentist
Demand78
Career growth62
Healthcare fit82
Remote potential95
Salary band
USD 66k – 84k
5-year outlook
Stable remote claims-review work with limited automatic upside unless the nurse moves into QA, team leadership, or broader utilization/claims management. Posted base pay is mid-range for experienced RNs, so negotiation and role expansion matter over time.
Clinical license
Required
Applicant reach
narrow
Seniority
mid
Employment type
full-time
Date found
2026-10-27
Intelligence details
Flexible work details
- Side income
- Classified as side-income friendly
- Engagement type
- Permanent
- Hours
- Full-time
- Eligible countries
- United States
- License jurisdiction
- US
- Profession fit
- Nurse, Dentist
- Rate period
- Annual
Why this was classified this way
- part-time
Listing via Himalayas.
Eligibility, licensing, and location restrictions can change. Always confirm details on the source posting before applying.
Why this is worth applying to
Worth considering for RNs who want a remote, non-bedside claims-review role using clinical expertise without direct patient care. Less suitable for clinicians without an active RN license or prior medical review experience.
Who should apply
Registered Nurses with at least 3 years of clinical experience, strong medical record review skills, and ideally some prior claims, utilization review, or chart-review experience who want a remote non-clinical role.
CV angle
Frame your RN experience around clinical assessment, medical record review, documentation accuracy, evidence summarization, and case communication. Highlight any chart auditing, utilization review, claims review, quality review, or multidisciplinary documentation work, plus proficiency with Word, Excel, and electronic records.
Skills to highlight
- Medical record review
- Clinical documentation analysis
- Claims and causality review
- Case summary writing
- Medical evidence organization
- Microsoft Word and Excel
- Electronic records navigation
- Attention to detail
Role summary
A remote RN claims consultant role reviewing medical records and bills for relatedness and causality, evaluating claimant care status, researching medical literature, preparing case summaries, and organizing medical evidence for clients.
We publish our own intelligence summary, never the full job description. Always confirm details with the employer when you apply.