Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

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
  • Dane Street is seeking a Physician Reviewer for a telework opportunity in Dallas, Texas. This...  ...involves reviewing medical records for insurance appeals and providing expert interpretations...  ..., and adhering to evidence-based guidelines. The role offers flexible scheduling... 
    Remote job
    Flexible hours

    Dane Street

    Dallas, TX
    1 day ago
  •  ...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 work
    Flexible hours

    Dane Street

    Dallas, TX
    2 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... 
    Remote work
    Contract work
    For contractors

    Dane Street

    Washington DC
    2 days ago
  • $211.2k - $277.2k

     ...we're Oscar. We're hiring a Physician Reviewer to join our Utilization...  ...Oscar is the first health insurance company built around a full...  ...and applying evidence-based guidelines. Hours: 8am - 5pm in your...  ...Work Location: This is a remote position, open to candidates... 
    Remote work
    Full time
    Local area
    Work from home
    Home office
    Weekend work

    Oscar Health

    New York, NY
    4 days ago
  • A healthcare organization is offering a remote role that requires a Doctor or PharmD degree...  ...second-level decisions regarding appeals based on documentation and medical evidence...  ...board certification. The role includes reviewing Medicare regulations and ensuring all appeal... 
    Remote job

    TMF Health Quality Institute

    Austin, TX
    2 days ago
  •  ...- Expert in Staffing APP’s and Physicians. The organization is a technology‑driven health insurance company built on a full‑stack platform...  ..., and pharmacy services by reviewing clinical information and applying evidence‑based guidelines. Key Responsibilities Conduct... 
    Remote job
    Weekend work

    Medix™

    Florida, NY
    3 days ago
  •  ...mandated turnaround times. Our reviewers are compensated on a per-...  ...MN, and/or NC License. Physician Specialties: Radiation...  ...clinical expertise and reviews insurance appeals, as well as prospective and...  ...recognized evidence-based guidelines, and standards of care.... 
    Remote work
    For contractors

    Dane Street

    United States
    1 day 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 work
    Contract work
    Work experience placement
    Work at office

    Federal Hearings And Appeals

    Wilkes Barre, PA
    20 days ago
  •  ...recognized Independent Review Organization (IRO), is...  ...its panel of Physician Reviewers. We are currently...  ...Reviews. This is a fully remote, non-clinical role offering...  ...requests and appeals. No patient contact, no...  ...workers’ compensation guidelines and nationally recognized... 
    Remote work
    Price work
    Extra income
    For contractors
    Flexible hours

    Dane Street

    New York, NY
    3 days ago
  •  ...DRG Clinical Physician Reviewer We are seeking a highly experienced DRG...  ...review team. This is a fully remote opportunity for a physician...  ...plans using evidence-based guidelines Produce clear, concise clinical...  ..., including outlier and appeal cases Collaborate with internal... 
    Remote work

    Med Review Inc

    United States
    4 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 work
    Full time
    Weekend work

    Solving IT

    New York, NY
    4 days ago
  •  ...a leading Independent Review Organization (IRO) and...  ...currently expanding our physician panel. We are seeking...  ...on a flexible, remote (telework) basis. This...  ...treatment requests Review appealed cases and render objective...  ...organized records and guideline references in a click-... 
    Remote work
    Extra income
    Contract work
    For contractors
    Flexible hours

    Dane Street

    Wausau, WI
    2 days ago
  •  ...This position is located Remote United States This can...  ...to demonstrate why an appeal should be allowed....  ...laws, regulations, and guidelines. Writes, and may plan,...  ...Medicare regulations or review experience, preferred...  ...long-term disability insurance Section 125 plan 401K... 
    Remote work
    Full time
    Contract work
    Temporary work
    Part time
    For contractors
    Local area

    TMF Health Quality Institute

    Austin, TX
    2 days ago
  •  ...mandated turnaround times. Our reviewers are compensated on a per-case...  ...expertise and reviews insurance appeals, and prospective and retrospective claims. The physician reviewer will provide an interpretation...  ...recognized evidence-based guidelines, and standards of care.... 
    For contractors

    Dane Street

    Bellevue, WA
    1 day ago
  • $29.27 - $38.25 per week

     ...in our exceptional physicians, nurses and staff,...  ...note - while remote, we are only considering...  ...all industry guidelines, laws and regulations...  ...to leadership to review and respond. Reviews...  .... Assists in appeals process resulting...  ...Dismemberment (AD&D) Insurance Supplemental Group... 
    Remote work
    Full time
    Temporary work
    Part time
    Flexible hours

    Capital Health (US)

    New York, NY
    3 days ago
  •  ...medical consulting firm is seeking a Physician Reviewer/Advisor for Independent Medical Exams...  ...leverage clinical expertise to review insurance appeals. Responsibilities include reviewing...  ...necessity, and ensuring compliance with guidelines. Board certification and active... 
    Extra income

    Dane Street

    New York, NY
    3 days ago
  •  ...established industry player is seeking a skilled Physician Reviewer to utilize clinical expertise in reviewing insurance appeals and claims. This role offers the flexibility...  ...client-specific policies and evidence-based guidelines. You will be responsible for reviewing... 
    For contractors
    Flexible hours

    Dane Street, LLC

    Bellevue, WA
    5 days 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, NY
    5 hours ago
  •  ...A leading independent review organization is seeking a Utilization Management Physician Reviewer for a full-time remote role. Candidates must possess an active Nebraska medical...  ...stakeholders, and ensuring compliance with medical guidelines. The role offers a structured schedule... 
    Remote work
    Full time
    Casual work
    Monday to Friday

    ExamWorks UM Strategies

    United States
    5 days ago
  •  ...A healthcare consulting firm is seeking a Physician Reviewer/Advisor to provide advisory opinions without establishing doctor/patient relationships...  ..., collaborating closely with the firm on claim reviews and ensuring compliance with evidence-based guidelines. #J-18808-Ljbffr... 
    Remote work
    For contractors

    Dane Street

    Grand Rapids, MI
    2 days ago
  •  ...Remote Physician Reviewer – Utilization Management ****This Person Needs to sit in PA, NJ, or Delaware...  ...working directly for a health insurance payer organization. Why This Role Is...  ...Apply InterQual criteria and clinical guidelines in utilization management reviews Conduct... 
    Remote work

    IntePros

    New York, NY
    1 day ago
  • $260k - $275k

     ...Position Type: Full-time | Remote | Non-clinical We are...  ...a Board-Certified Physician to join a Utilization...  ...This position focuses on reviewing clinical documentation...  ...using evidence-based guidelines. This is an excellent...  ...management within the health insurance industry Willingness... 
    Remote work
    Full time
    Weekend work

    Medix

    New York, NY
    5 hours ago
  •  ...Dane Street is an Independent Review Organization and a national...  ...offerings) and we are expanding our physician panel resulting in...  ...of treatment requests and, in appeals, the medical necessity of previously...  ...as well as all treatment guidelines used to make a determination... 
    Remote work
    Extra income
    Contract work

    Dane Street

    Washington DC
    2 days ago
  •  ...Job Title: Physician Reviewer Location: 100% Remote Duration: 2+ Years Contract Position+ Contract to Hire Schedule: 40hr, Mon- Fri, 8 am – 5.00 pm...  ...reviewers evaluate clinical service requests based on company guidelines to make medical necessity determinations.... 
    Remote work
    Contract work

    Careers Integrated Resources Inc

    United States
    28 days ago
  •  ...A healthcare firm in Alsip is seeking a Physician Reviewer/Advisor to provide telework opportunities for independent medical examinations....  ...Internal Medicine, ensuring compliance with evidence-based guidelines. This role offers significant flexibility, with case types dictated... 
    Remote work

    Dane Street

    Alsip, IL
    12 days ago
  •  ...NM and OK licensure is preferred remote in any state except, CA, NY, HI, and AK 20 - 40 hours/week and possible weekend...  ...clinical service requests. Participates in the Physician Review Units' appeal process of service denials. Participates in the development... 
    Remote work
    Weekend work

    Careers Integrated Resources Inc

    United States
    13 days ago
  •  ...and knee) for high-impact case review roles on Contract. At WNS...  ...Role Overview As a Specialty Physician Reviewer, you’ll leverage your...  ...adherence to evidence-based guidelines and best practices, staying at...  ...musculoskeletal conditions Job Type - Remote / Contract WNS HealthHelp (A... 
    Remote work
    Contract work
    For contractors
    Local area
    Flexible hours

    HealthHelp

    New York, NY
    4 days ago
  •  ...Job Title External Physician Reviewer Job Type Occasional Category Medical Services...  ...current liability and malpractice insurance coverage for non-UR clinical activities...  ...territory of the United States when conducting appeal considerations Internet... 
    Remote work
    Full time
    Contract work
    Local area
    Work from home

    Arkansas Foundation for Medical Care

    United States
    5 days ago
  •  ...client-mandated turnaround times. Our reviewers are compensated on a per-case basis as...  ...online notaries. Job Summary Our Physician Reviewers need to have strong experience...  ...national, state, and professional association guidelines and peer-reviewed literature that... 
    Remote work
    For contractors
    Work experience placement

    Dane Street

    United States
    4 days ago
  •  ...Orthopedic Surgeon Reviewer Dane Street is seeking experienced...  ...growing panel of independent physician reviewers. In this role, you...  ...clinical opinions. This fully remote opportunity offers flexible...  ...Applying current clinical guidelines and standards of care to all... 
    Remote work
    Extra income
    For contractors
    Flexible hours

    Dane Street

    United States
    1 day 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!