Remote Physician Reviewer - Insurance Appeals & Guidelines
Dane Street
A healthcare review company is seeking a Physician Reviewer to work telecommuting. This role utilizes clinical expertise to review insurance appeals and claims. Candidates must possess an active NM License and have a solid understanding of evidence-based guidelines. Responsibilities include reviewing medical records, ensuring documentation quality, and maintaining licensure. This role offers a custom schedule as a 1099 independent contractor. #J-18808-Ljbffr
Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Remote Physician Reviewer - Insurance Appeals & Guidelines in Santa Fe, NM vacancy
- A telehealth review company is seeking a Physician Reviewer to evaluate insurance appeals and claims. This remote role requires candidates to hold licenses in NM, TX, MN, or NC. Responsibilities include reviewing medical records, ensuring compliance with client criteria...Remote workFlexible hours
Dane Street
Dallas, TX2 days ago - A healthcare services company is seeking a physician reviewer to utilize clinical expertise in reviewing insurance appeals and claims. This telework opportunity allows for a customizable schedule while ensuring compliance with client-specific policies. Candidates must hold...Remote workContract workFor contractors
Dane Street
Washington DC2 days ago - ...Description Job Description Physician Peer Reviewer – Multiple Specialties in... ...Federal Hearings and Appeals Services (FHAS) is a URAC-accredited... ..., government agencies, insurance companies, and legal... ...reviews Job Type Contract Work Location Remote...Remote workContract workWork experience placementWork at office
Federal Hearings And Appeals
Wilkes Barre, PAa month ago $130 - $145 per hour
.... We're hiring a part-time Physician Reviewer to join our Utilization Management... ...Oscar is the first health insurance company built around a full... ...applying evidence-based guidelines. Hours: 8am - 5pm in your... ...Work Location: This is a remote position, open to candidates...Remote workHourly payFull timePart timeLocal areaWork from homeHome officeWeekend work- ...highly experienced DRG Clinical Physician Reviewer to join our growing clinical... ...team. This is a fully remote opportunity for a physician... ...plans using evidence-based guidelines Produce clear, concise clinical... ...reviews, including outlier and appeal cases Collaborate with...Remote work
Med Review Inc
New York, NY2 days ago - ...Payfuture Technologies is hiring a Physician Reviewer specializing in Orthopedic Surgery. This remote role allows for flexibility while ensuring... ...case reviews based on established medical guidelines. You'll analyze insurance appeals and provide clear documentation to...Remote workFor contractors
Payfuture Technologies
West Palm Beach, FL23 hours ago - ...recognized Independent Review Organization (IRO), is... ...its panel of Physician Reviewers. We are currently... ...Reviews. This is a fully remote, non-clinical role... ...treatment requests and appeals. No patient contact, no... ...workers’ compensation guidelines and nationally...Remote workPrice workExtra incomeFor contractorsFlexible hours
Dane Street
New York, NY2 days ago - ...features. Location: Remote (Must reside in... ...board-certified physicians to join their Medicare... ...as Physician Reviewers. In this remote... ...apply evidence-based guidelines, and collaborate... ...Review Unit’s appeals process for service... ..., Term Life/AD&D Insurance, and a 401(k)...Remote workFull timeWeekend work
Solving IT
New York, NY4 days ago - ...Work" company is seeking a Physician to provide utilization review services for the Group... ...recognized evidence-based guidelines, and client-specific policies... ...Prior Authorizations and Appeals including medical records... ...understanding of medical insurance and utilization...Remote work
Dane Street
United States1 day ago - ...Appeal & Grievance Coordinator Reviewer I We are seeking an Appeal & Grievance Coordinator Reviewer I to review and research medical appeals and... ...resolution in compliance with HIPAA, CMS, and regulatory guidelines. The ideal candidate will have experience with Appeals...Remote jobWork at office
- ...Job Summary Appeal & Grievance Coordinator Reviewer I (Remote PST Preferred) Location: Remote (PST Preferred) Duration: 5+ Month Contract Key Responsibilities... .... Analyze medical records, claims, and coverage guidelines. Process appeals, grievances, and documentation...Remote workContract workWork at office
$285.23k - $332.26k
...Mso Physician Reviewer Burlingame, CA 94010 Overview Salary Range... ...authorization requests, and supporting appeals and grievance processes.... ...regulations, and payer guidelines, including Medicare and... ..., and/or commercial insurance). Familiarity with UM guidelines...Full time- ...Can work remotely in any state except CA, NY, HI or AK 20 - 40 hours/week and possible weekend coverage (in a rotation)... ...evaluate clinical service requests. Participates in the Physician Review Units' appeal process of service denials. Participates in the development...Remote workWeekend work
Integrated Resources
United States3 days ago - ...pay rate is ***/hour fully remote, but must reside in one of our plan states: IL, TX, NM... ...management for members whose cases come for review, in partnership with case managers. Participates in the Physician Review Units' appeal process of service denials. Participates...Remote workMonday to FridayShift workWeekend work
Mindlance
Richardson, TX1 day ago - ...management organization is seeking experienced Physician Reviewers to join their Medicare Utilization Management team in a remote position. Responsibilities include reviewing... ...service requests, applying evidence-based guidelines, and collaborating to ensure quality care...Remote work
Solving IT
New York, NY23 hours ago - ...to evaluate clinical service requests. Participates in the Physician Review Units' appeal process of service denials. Participates in the... ...not provide direct patient care or medical diagnosis.) Remote 20 - 40 hours/week and possible weekend coverage (in a rotation...Remote workContract workWeekend work
VIVA
United States23 hours ago - ...Appraisal Reviewer Vontive is a leading embedded mortgage platform... ...USPAP, agency, and internal guidelines. You'll be a critical part of... ...offering the flexibility of remote work combined with regular in... ...- and long-term disability coverage ~ Life insurance policy...Remote workTemporary workWork at office
Vontive
San Antonio, TX4 days ago $174.07k - $374.92k
...Street Health Title: Full-Time Utilization Management Physician Reviewer Location: Remote/ Treehouse Role Description: This full-... ...knowledge of current CMS and MCG evidence-based guidelines to enable UM decisions Maintain compliance with legal...Remote workHourly payFull timeLocal areaCVS Health
United States4 days ago$250k - $350k
...We are seeking a Remote Medical Director... ...medical necessity reviews. No direct patient... ...-based clinical guidelines. Approve, deny... ...Collaborate with nurses, physicians, and care... ...Participate in appeals, grievance reviews... ...paid time off, life insurance, FSA, tuition...Remote workWork at officeInspire Healthcare
Pomona, CA2 days ago$35 - $40 per hour
...RN Utilization Management Reviewer Job Description: We are... ...InterQual and other available guidelines) and employs clinical expertise... ...This is a fully remote work at home role. You must have... ...Dental ~ Vision ~ Life Insurance ~ Short-Term and Long-Term...Remote workHourly payTemporary workCurrently hiringMonday to FridayFlexible hoursWeekend workSagility
United States4 days ago$95k - $120.65k
...DRG Quality Assurance reviews in an effort to increase... ...standard coding guidelines and the clinical evidence... ...medical records such as physician notes, lab tests,... ...working knowledge of Health Insurance, Medicare guidelines... ...We foster a hybrid and remote friendly culture, and...Remote workFull timeWork at officeLocal areaVisa sponsorshipFlexible hours$79k - $99.75k
...comprehensive inpatient DRG reviews based on industry standard inpatient coding guidelines and rules, evidence... ...records such as physician notes, lab tests, images... ...working knowledge of Health Insurance, Medicare guidelines... ...foster a hybrid and remote friendly culture, and...Remote workFull timeWork at officeLocal areaVisa sponsorshipFlexible hours$100k - $300k
...of experience as a physician; Board... ...Organization provides insurance and customer service... ...medical director reviews a variety of cases... ...determinations and appeals. The incumbent medical... ...and may be partly remote. It is a Michigan... ..., established guidelines or current research...Remote workHourly payTemporary workPart timeFor contractorsImmediate startDOCTORS CHOICE PLACEMENT SERVICES, INC.
Lansing, MI4 days ago$91.7k - $163.7k
...the Psychologist Peer Review for ALERT involves applying... ...flexibility to work remotely * from anywhere within... ..., state, and local guideline requirements; and perform... ...no MD involvement) Appeals of previously denied... ...Experience working with insurance agencies ~ Computer...Remote workMinimum wageFull timeWork experience placementLocal area$41 - $44 per hour
...Job Description Xactimate Certified Reviewer Job Description The Xactimate... ..., policies, and funding guidelines. This long-term, fully remote engagement offers significant ownership... ...construction estimating, damage assessment, insurance restoration, or project scoping....Remote workContract workTemporary workAston Carter
Raleigh, NC2 days ago$70.97 - $125 per hour
...Psychiatrist Physician Reviewer - PRN - Remote (Within Illinois) Acentra Health exists to empower better health outcomes through technology, services... ...operations Represent the organization through state appeal processes Review medical information trends,...Remote jobHourly payReliefLocal area$238k - $357.5k
...Appeals And Grievances Medical Director At UnitedHealthcare, we... ...responsible for ongoing clinical review and adjudication of appeals... ...the flexibility to work remotely from anywhere within the U.S.... ...for various health plan and insurance products, which may include PPO...Remote jobMinimum wageWork experience placementLocal areaWork from home- A leading Independent Review Organization is seeking a Board-Certified Physical Medicine... ...perform Utilization Reviews. This fully remote role offers flexible scheduling and supplemental... ...Board Certification. Apply to join our Physician Review Panel and start earning based on...Remote workExtra incomeFlexible hours
Dane Street
New York, NY2 days ago - ...An established industry player is seeking a Remote Physician Reviewer for a 3-year contract role. This exciting opportunity involves evaluating clinical service requests, utilizing clinical judgment to adjudicate requests, and providing clinical leadership within the organization...Remote workContract work
The Judge Group, LLC
New York, NY23 hours ago - 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 Monday - Friday work week. Responsibilities include reviewing medical records,...Remote workFor contractorsMonday to FridayFlexible hours
Dane Street
Washington DC2 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Physician Reviewer - Insurance Appeals & Guidelines. Be the first to apply!
Related searches
- doctor of optometry Santa Fe, NM
- drug safety physician Santa Fe, NM
- physician consultant remote Santa Fe, NM
- permanent primary care physician Santa Fe, NM
- critical care physician Santa Fe, NM
- primary care sports medicine physician Santa Fe, NM
- outpatient primary care physician Santa Fe, NM
- vascular medicine physician Santa Fe, NM
- primary care physician Santa Fe, NM
- weekend doctor Santa Fe, NM