Medical Review Is Going To Get Big Too
Some companies don't just work in insurance, but they work in the review of medical claims.
If you think of medical review as auditing then you're on the right track. Medical review companies review medical claims to make sure that they are paid correctly. There are arguments on both sides--from doctors and patients--about how broken the system is. Well, reviewing these claims to make sure Doctors get paid correctly and to make sure patients get charged correctly is a good idea!
Medical review companies are having people look over notes, payments , coding--everything--to make sure that things are done right. If you're a detail oriented person then this a good place to start climbing the corporate ladder.
If you're a doctor or nurse there might be part-time work for you in looking over complex notes and other facts that cannot be easily understood by a layperson. Also, some of these medical review companies may require a healthcare professional to see patients or to check up on certain hospitals and doctor's offices to make sure things are being done right.
As the healthcare legislation clamps down on waste there will be a huge push for people to be doing the right things at the right time. This is why healthcare pros will be needed. It may be that you can work part-time in advising other professionals on how to properly handle claims and forms--or in what care to provide.
In this sense it sounds like "big brother" but recommendations for improvement have to come from somewhere and there's no better person to give them than someone who can easily come up with a good answer and help another out.
Now, I know it sounds silly because that would mean there's another layer of "stuff" on top of all the other "stuff" in the system, but if you think about it--we NEED medical review.
Yes, you might be working at a clerical job in an office, but someone needs to make sure all the paperwork you put in is exactly right. These layers of attention to detail will provide doctors and patients with the much needed security--monetary security--that has eluded us for too long.
So, you're looking for work and you're wondering what medical review is? It's a good thing. It's a place to get a good job that pays and you can help people at the same time. Plus, these are big companies and they offer you a chance to climb the corporate ladder and become the success that you know you can be! Happy hunting!