Clinical Proofreader Editor

About the Role

Day-to-day, the Clinical Proofreader Editor will be deeply involved in reviewing clinical system events, collaborating with internal teams, and ensuring that all correspondence adheres to state and federal regulations while maintaining the company's corporate branding standards. This is not just a proofreading role; it's about understanding the clinical context, identifying gaps in processes, and providing actionable feedback to reduce errors and improve overall quality.

The team context for this role is dynamic, with the Clinical Proofreader Editor working closely with care managers, leadership, and peer reviewers to maintain compliance with regulatory-mandated communications. This collaborative environment requires strong communication skills, both written and verbal, as well as the ability to work independently and manage time effectively to meet production targets.

What You Will Do

• Review member and provider communications to ensure consistency with the clinical system (TruCare) and compliance with regulatory guidelines.
• Complete assigned correspondence tasks promptly and within designated timeframes.
• Identify gaps in processes and provide actionable feedback to reduce errors and improve overall quality.
• Audit and analyze correspondence to confirm accuracy with TruCare records and ensure the appropriate templates are utilized correctly.
• Work closely with care managers, leadership, and peer reviewers to maintain compliance with regulatory-mandated communications.
• Assess correspondence for accurate medical terminology and adherence to departmental policies and applicable regulations.
• Support the organization in managing the lifecycle of correspondence, including creation, storage, secure retrieval, and proper archiving.
• Maintain consistency in all correspondence by adhering to corporate branding standards.
• Take on other responsibilities as assigned by the company.

What We Are Looking For

• Possession of a high school diploma or equivalent (GED).
• Exceptional skills in both written and verbal communication.
• Strong abilities in organization and time management.
• Ability to meet production targets of 35 letters per day and 200 letters per week.
• Proven critical thinking and creative problem-solving capabilities.
• Relevant professional experience within the healthcare industry.
• An associate degree in a healthcare-related field is preferred.
• Working knowledge of MS SharePoint.
• Hands-on experience with Utilization Management, government healthcare programs, and managed care processes, including organizational determinations, approvals, denials, appeals, and grievances.

Nice to Have

• Experience in training others and collaborating across teams.
• Demonstrated adaptability to evolving tasks and a professional, objective approach to collaboration.
• Knowledge of digital tools used in clinical proofreading and editing.

Benefits and Perks

• Competitive hourly rate starting at $25+/HR.
• Opportunity to work in a 100% remote environment.
• Collaborative and dynamic team environment.
• Professional development opportunities within the company.
• Access to cutting-edge digital tools and systems.
• Flexible working hours to ensure a healthy work-life balance.
• Recognition and reward for outstanding performance and contributions to the team.

• Tailor Your Resume: Ensure your resume highlights your experience in clinical editing, proofreading, and any relevant tools or software you've used.
• Prepare Examples: Come prepared with examples of how you've improved processes or identified and resolved errors in clinical correspondence.
• Showcase Your Communication Skills: Highlight your ability to communicate effectively with different teams and stakeholders, including care managers and regulatory bodies.
• Understand the Company Culture: Research 4 Corner Resources to understand their mission, values, and work environment to see if it aligns with your professional goals and preferences.
• Ask About Growth Opportunities: In your interview, ask about opportunities for professional growth and development within the company to show your long-term interest in the role and the company.
• Discuss Remote Work Experience: If you have experience working remotely, be prepared to discuss how you stay productive, manage your time, and maintain communication with remote teams.
• Clarify Expectations: Make sure you understand the job's expectations, including production targets, working hours, and any specific software or tools you'll be required to use.