Remote Medical Reviewer (Physician) for Healthcare Claims
Gainwell Technologies
- Remote job
Gainwell Technologies is seeking a Medical Reviewer (Physician) to support Medical Review Services for California healthcare programs. This role provides physician-level clinical expertise supporting medical policy, claim adjudication, TARs, appeals, provider-related medical review activities, and other healthcare program requirements. Your role includes performing physician-level medical reviews of claims, applying clinical standards, and collaborating with multidisciplinary teams. #J-18808-Ljbffr Gainwell Technologies
$140k - $160k
...It takes great medical minds to create powerful solutions... ...that solve some of healthcare’s most complex... ...is seeking a Medical Reviewer (Physician) to support Medical... ...supporting medical policy, claim adjudication,... ...Full-time position. Remote work environment....Remote workClaimsFull timeWork from homeHome officeMonday to FridayFlexible hours$150k - $175k
...Medical Reviewer (Radiologist) - Remote CA It takes great medical minds to create powerful... ...that solve some of healthcare's most complex challenges... ...(Radiologist) to provide physician-level radiology expertise... ...review radiology-related claims, Treatment Authorization...Remote jobClaimsFull timeWork from homeHome officeMonday to FridayFlexible hours$110k - $130k
...It takes great medical minds to create powerful... ...solve some of healthcare’s most complex challenges... ...a Medical Reviewer (Podiatrist) to provide... ...medical records, claims, Treatment... ...Collaborate with physicians, nurses, other clinical... ...time position. Remote work environment....Remote workClaimsFull timeWork from homeHome officeMonday to FridayFlexible hours$150k - $175k
...It takes great medical minds to create powerful... ...that solve some of healthcare’s most complex... ...seeking a Medical Reviewer (Radiologist) to provide physician-level radiology expertise... ...radiology-related claims, Treatment... ...-time position. Remote work environment....Remote workClaimsFull timeWork from homeHome officeMonday to FridayFlexible hours- ...Remote Medical Case Reviewer (Contract) Location: Remote About the Opportunity PsyPhyCare is... ...Case Reviewers to support a federal healthcare program focused on evaluating vaccine- and countermeasure-related injury claims. These programs provide compensation...Remote workClaimsHourly payContract work
- ...are seeking a creative and passionate Medical Reviewer to join our team. You will work with our... ...social media content, verifying that all claims are supported by high-quality, peer-... ...us and how we're changing the face of healthcare at Function Health. Important Notice...Remote workClaimsFlexible hours
- A healthcare company is seeking a Remote Medical Case Reviewer to evaluate vaccine and countermeasure-related injury claims. Responsibilities include reviewing medical case files, preparing reports, and consulting with medical experts. Candidates must hold an MD/DO or relevant...Remote jobClaimsContract work
- Gainwell Technologies is seeking a Medical Reviewer (Radiologist) to provide physician-level radiology expertise... ...You will review radiology-related claims, TARs, and medical records to ensure... ...program compliance. The role is fully remote in California with a Monday-Friday...Remote jobClaimsMonday to FridayFlexible hours
$88.7 - $140 per hour
...Responsibilities Acentra Health is looking for a Physician Medical Reviewer to join our growing team. Job... ...of a Physician Medical Claims Reviewer include conducting independent... ...shared attention May primarily work remotely but must be available onsite to the client...Remote workClaimsReliefLocal area- ...inception in 2017 as an employee-centered healthcare management consulting company. Our... ...focuses on providing processing, review, and analysis of medical claims, records, data, and audits between... ...system. ~3+ years working remotely with various technology systems. Ideally...Remote workClaimsFor contractorsLocal area
- Itemized Bill and Medical Record Reviewer job at Alaffia Health. New York, NY.... ...Mission Each year, the U.S. healthcare system suffers from over $5... ...have experience reviewing claim forms and auditing provider... ...direct access to Leadership LI-REMOTE #J-18808-Ljbffr Alaffia...Remote workClaimsFlexible hours
- ...RN / Medical Reviewer / Remote Job Details Professional Discipline : Registered Nurse... ...using your clinical proficiency and claims knowledge. This is a REMOTE... ...one of North America's most trusted Healthcare Services Firms, which includes comprehensive...Remote workClaimsFull timeContract workLocal areaShift work
- ...Technologies is seeking a Medical Reviewer (Registered Nurse) to support California healthcare programs. You will... ...healthcare services, claims, and authorization... ...requests. You will work remotely within California... ...and collaborating with physicians and other clinicians...Remote jobClaimsFlexible hours
- ...Physician, Medical Case Reviewer (Remote, Part-Time, Flexible Hours) At Broadway Ventures, we transform challenges into opportunities with expert... ...remain confidential Make a meaningful impact—help improve healthcare standards for veterans How to Apply: If you meet...Remote workContract workTemporary workPart timeFor contractorsCurrently hiringFlexible hours
- Gainwell Technologies is seeking a Medical Reviewer (Laboratory Specialist) to provide laboratory subject... ...supporting Medical Review Services for California healthcare programs. In this role, you will review laboratory-related claims, TARs, orders, and supporting documentation...Remote jobClaims
$85k - $110k
Physician LiaisonNorthern CA | Field-Based | Full-TimeBase... ...multi-specialty healthcare organization is seeking... ...building relationships with medical offices, referral... ...California region. This is a remote, field-based role with... ...management Insurance claims adjusting Legal or...Remote workClaimsLocal area- Medical Review organization in need of locums providers to work remotely for 2-3 months with the option to convert... ...include reviews of medical claims to deliver conflict-... ...better allocate healthcare resources. - Must... ...phone calls with other physicians when a case can't be...Remote workClaimsPermanent employmentLocumWork from homeShift work
- ...experienced DRG Clinical Physician Reviewer to join our growing... .... This is a fully remote opportunity for a... ...that directly impact healthcare quality and reimbursement... ...Evaluate medical records, diagnostic findings... ...Validation, CDI, or claims review strongly preferred...Remote workClaims
$240k
...Utilization Management Physician (UMP) Remote | Full-Time | Florida Compensation... ...Physician to perform medical necessity reviews, peer-to-peer discussions... ..., concurrent reviews, claims, and appeals Make medical... ...is National Leader in the Healthcare Staffing Industry. We...Remote workClaimsFull timeRelocation$70k - $90k
...It takes great medical minds to create powerful... ...solve some of healthcare’s most complex challenges... ...a Medical Reviewer (Prosthetic and Orthotic... ...device requests, claims, Treatment... ...time position. Remote work environment.... ...collaborating with physicians, nurses, other clinical...Remote workClaimsFull timeWork from homeHome officeMonday to FridayFlexible hours- ...Claims Review Physician Fully Remote Overview Position Type: Contractor Job Shift: Any Description... ...GASTROENTEROLOGY IMMUNOLOGY INTERNAL MEDICINE MEDICAL ONCOLOGY ORTHOPEDICS OTOLARYNGOLOGY... ..., pharmacies, and other licensed healthcare providers. Additionally, provide...Remote workClaimsContract workFor contractorsFlexible hoursShift work
- ...unlocking a more connected healthcare experience that is... ...personalized. PWN Remote Care Services, P.A. (... .... We are a 50-state physician, registered nurse,... ...support asynchronous medical necessity review following a completed... ...this role will support claims submitted to federal...Remote workClaimsContract workFlexible hours
- Inova Health seeks a dedicated Physician Insurance Analyst to join our... ...position involves four days remote and one day in-office in... ...billing experience and strong claims processing skills. Key duties... ...opportunities within a leading healthcare #J-18808-Ljbffr Inova HealthRemote workClaimsFull timeWork at office
- ...Board Certified Internal Medicine physicians to conduct Independent Medical Exams (IME) and Peer Reviews. This opportunity allows you... ..., and reviews disability claims by providing an interpretation... ...of services provided by other healthcare professionals in compliance with...Remote workClaimsFor contractorsMonday to Friday
- A recognized healthcare provider is seeking a Board Certified Orthopaedic Spine Surgeon to conduct utilization reviews. This telework position allows for a flexible schedule within a standard... .... Responsibilities include reviewing medical records, ensuring compliance with state...Remote jobClaimsFor contractorsMonday to FridayFlexible hours
- ...Description Hospitalist Physician Job Type:... ...Contractor Location: Remote Job Overview... ...contribute their medical expertise to a... ...this role, you will review clinical records,... ...information, findings, and claims are supported by... ...coding, or healthcare quality assurance....Remote workClaimsFor contractors
- ...located at Brooke Army Medical Center, San Antonio,... ...for federal civilian healthcare providers as they are... ...covered by the Federal Tort Claims Act (28 U.S.C. § 1346(... ...be authorized. - Remote telework may be authorized... ..., other Department physicians and the medical...Remote workClaimsCivilian ContractorPermanent employmentInternshipRelocation package
$70k - $100k
...It takes great medical minds to create powerful... ...solve some of healthcare’s most complex challenges... ...a Medical Reviewer (Registered Nurse)... ...healthcare services, claims, and authorization... ...or refer cases to physicians or other... ...time position. Remote work environment....Remote workClaimsFull timeHome officeMonday to FridayFlexible hours$45k - $50k
...0,000.00 Annually Medical Management Group of... ...in defending claims across a wide range... ...oriented and reliable Physician Recruiter to... ...board certifications. Review malpractice history... ...office or similar healthcare environment Strong... ...flexibility to work remotely on designated days...Remote workClaimsTemporary workWork at office- ...Overview Healthcare Shares is a healthcare venture... ...cohort of Sports Medicine Physician Advisors within our... ...Responsibilities Conduct clinical review of technologies... .... Evaluate safety claims, return-to-play... ...concussion analytics, and remote recovery coaching....Remote workClaimsPart timeSeasonal workFlexible hours
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