Claims Review Physician (57795)
CAPITOL BRIDGE, LLC
Claims Review Physician Fully Remote Overview Position Type: Contractor Job Shift: Any Description Capitol Bridge is currently seeking Board Certified Physicians, licensed in any state, for remote, 1099 contract roles across the following specialties: DERMATOLOGY GASTROENTEROLOGY IMMUNOLOGY INTERNAL MEDICINE MEDICAL ONCOLOGY ORTHOPEDICS OTOLARYNGOLOGY PLASTIC SURGERY PSYCHIATRY PULMONOLOGY RHEUMATOLOGY VASCULAR SURGERY Founded in 2012, Capitol Bridge is based in Arlington, Virginia and has proven expertise providing independent medical reviews, records/data management services, medical coding, administrative staffing and eligibility reviews. We are looking to build our panel of Claims Review Physicians. This is a flexible, fully remote 1099 opportunity. You will be responsible for resolving claim disputes submitted by various parties such as physicians, hospitals, institutions, pharmacies, and other licensed healthcare providers. Additionally, provide assistance to contracted and non-contracted health care providers and health care plans for resolution of claims disputes. Your role requires conducting all job duties efficiently, promptly, productively, consistently, and courteously, while maintaining a high level of professionalism. Qualifications Requirements: -Must be an MD or DO -Must be Board Certified -Must have 5 years patient care experience within the last 2 years -Must have an unrestricted Medical License Compensation: Approximately $250 per case depending on case requirements. Employment is contingent on successful passing of a background check. Reasonable Accommodation: If you require alternative methods of application or screening, you must approach the employer directly to request this. Capitol Bridge LLC. is an Equal Opportunity Employer. All employment decisions at Capitol Bridge are based on business needs, job requirements, and individual qualifications, without regard to race, color, religion or belief, national, social, or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status protected by the laws or regulations in the locations where we operate. Texting Notice: We communicate with applicants by text in addition to email and phone. If you apply for this position, we may text you about this position, your application for the position, or other things relevant to this job position. If we text you and you no longer want us to text you, you can opt-out at that time. CAPITOL BRIDGE, LLC
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$110 per hour
Physician - Clinical Advisor (Women's Health Expert) Employment Type: 0.5 FTE (20 hours/week... ...visits and DEA‑required encounters Review and manage time‑sensitive patient cases,... ...If you receive suspicious communication claiming to be from Midi Health, please report it...ClaimsImmediate startMonday to Friday- ...in New Jersey is seeking a Medical Peer Reviewer to support the CMO Administration by assessing requests for authorization and claims payments based on medical records and internal... ...data. The role requires board-certified physicians, strong clinical judgment, and the...Claims
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$69.3k - $78k
A healthcare payment integrity company is seeking a Medical Review Nurse II - Clinical Validation to perform medical claims audits for Government and Commercial Payers. The position requires an active RN license and a minimum of five years nursing experience. Responsibilities...ClaimsRemote job- 1199SEIU in New York is seeking an experienced Hospital Claims Processor to cross-train staff and support the Fraud & Abuse findings in the Hospital Claims Department. You will review complex claims and ensure timely processing across multiple programs. The role requires...Claims
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$109.6k - $149.63k
## Mgr, Network & Physician ContractingApplylocations: Hopewell, NJ - Hybridtime type: Full... ..., provider file maintenance requests, claims stops and new hospital implementation. Adjudication... ...goals; conduct annual performance reviews, and administers salaries for the staff....ClaimsContract workLive inLocal area- J29, Inc. is seeking a Remote Medical Reviewer (RN) for a temporary assignment to audit Medicare FFS claims, including Part A/B, DMEPOS, and Home Health/Hospice as needed. You will apply CMS rules, document findings, and ensure accuracy in each review while maintaining...ClaimsRemote jobTemporary workWork experience placement
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