Medical File Reviewer, PHRN

Role Overview

• Prepares case files and Disability Benefits Questionnaires (DBQ) assigned in the client portal.
• Reviews and bookmarks medical records and creates a synopsis to answer medical opinion questions based on the veteran's medical history.
• Remotely assists the medical provider during a scheduled appointment of a veteran.
• Accesses, navigates, and prepares different apps in the medical provider's computer in the exam room prior to the scheduled appointment.
• Remotely interviewing the veteran via the approved video or telephone conference platform.
• Transcribing the medical history based on the veteran's answers to the questions in the DBQ.
• Documenting all the physical examination findings in the appropriate section of the DBQs.
• Completes all the sections of the DBQ spreadsheets after each appointment.
• Meets with medical providers to discuss each assigned case to determine the final diagnosis per DBQ and for approval of medical opinions.
• Transfers data from the DBQ spreadsheet to the client portal.
• Submission of DBQs in the client portal.
• Answering queries/addendum reports from the client's QAs.
• Coordinates with the medical providers and other team members regarding the scheduled appointments per day.

Requirements

• BSN, active PHRN license
• Must have good communication skills in order to assist the veterans, medical providers, and colleagues well.
• Must be able to work independently, with minimal supervision.
• Must be flexible in work schedule changes, as needed.
• Must take accountability for all assigned cases.
• Must be proficient with the use of MS applications such as word, excel, and PowerPoint.
• Assists the Lead and/or Trainer in the improvement of the process.
• Assists in the creation of process-related templates, if needed.
• Perform other job-related duties as assigned by your supervisor or manager.