Remote Physician Reviewer Medical Necessity & Appeals
Dane Street
Dane Street is seeking a Physician Reviewer for a telework opportunity in Dallas, Texas. This role involves reviewing medical records for insurance appeals and providing expert interpretations concerning medical necessity. Candidates must hold necessary licenses in NM, TX, MN, and NC. Responsibilities include ensuring documentation adequacy, maintaining client turnaround times, and adhering to evidence-based guidelines. The role offers flexible scheduling and competitive compensation on a per-case basis. #J-18808-Ljbffr
- 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... ...Responsibilities include reviewing medical records, ensuring documentation...Remote workMedicalFor contractors
- ...recognized Independent Review Organization (IRO),... ...its panel of Physician Reviewers. We are currently... ...an active New York medical license and Workers... .... This is a fully remote, non-clinical role... ...on the medical necessity of treatment requests and appeals. No patient contact...Remote workMedicalPrice workExtra incomeFor contractorsFlexible hours
- ...Job Title: Medical Director – Utilization Management (Contract to Hire) Location: Fully Remote, but need license for the state (PA, NY... ...support high-volume medical necessity reviews. This is a contract-to-hire... ...initial determinations, appeals, and grievance reviews Conduct...Remote workMedicalContract workFlexible hours
- ...leading Independent Review Organization (IRO)... ...expanding our physician panel. We are seeking... ...an active Texas medical license to perform... ...reviews on a flexible, remote (telework) basis.... ...Provide medical necessity determinations on... ...treatment requests Review appealed cases and render...Remote workMedicalExtra incomeContract workFor contractorsFlexible hours
$29.27 - $38.25 per week
...in our exceptional physicians, nurses and staff,... .... Capital Health Medical Group is made up of... ...note - while remote, we are only considering... ...to leadership to review and respond.... ...supports medical necessity, code specificity,... ...templates. Assists in appeals process resulting...Remote workMedicalFull timeTemporary workPart timeFlexible hours$70.97 - $125 per hour
...Acentra seeks a Psychiatrist Physician Reviewer (PRN) to join our growing... ...Illinois hospitals to establish medical necessity and continued stay criteria... .... *Position is PRN and remote within the state of... ...organization through state appeal processes Review medical...Remote workMedicalHourly payReliefLocal area- ...An independent medical consulting firm is seeking a Physician Reviewer/Advisor for Independent Medical Exams (IME). This... ...clinical expertise to review insurance appeals. Responsibilities include... ...based interpretations of medical necessity, and ensuring compliance with...MedicalExtra income
- ...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 workMedicalFlexible hours
- ...A healthcare company is looking for experienced Physician Reviewers/Advisors in California for a telework position that... ...supplemental income. The role involves reviewing medical records, interpreting the medical necessity of services, and providing advisory opinions...Remote workMedicalExtra income
- ...Dane Street is an Independent Review Organization and a national provider... ...) and we are expanding our physician panel resulting in opportunities... ...active Texas License to address the medical necessity of treatment requests and, in appeals, the medical necessity of...Remote workMedicalExtra incomeContract work
- ...IntePros is seeking a Physician Reviewer to provide remote support for a healthcare organization. The role involves reviewing medical necessity determinations and applying InterQual criteria. Candidates should have an MD or DO, active board certification, and a background...Remote workMedical
- ...A healthcare services company is seeking a physician reviewer to utilize clinical expertise in reviewing insurance appeals and claims. This telework opportunity allows for... ...License. Responsibilities include reviewing medical records, providing clear rationale for decisions...Remote workMedicalContract workFor contractors
- ...highly experienced DRG Clinical Physician Reviewer to join our growing clinical... ...team. This is a fully remote opportunity for a physician... ...supported, and compliant Evaluate medical records, diagnostic findings... ..., including outlier and appeal cases Collaborate with internal...Remote workMedical
- A healthcare technology company is seeking passionate Physicians (MD/DO) for a fully remote position evaluating medical necessity in case reviews. This contract-based role involves conducting independent assessments while maintaining clinical integrity. Ideal candidates...Remote workMedicalContract workFlexible hours
- ...Can work remotely in any state except CA, NY, HI or AK 20 - 40 hours/week and possible... ...requests. Participates in the Physician Review Units' appeal process of service denials.... .... Other duties as assigned by the Medical Director. Board Certified (ABMS) M.D....Remote workMedicalWeekend work
- ...Remote Physician Reviewer – Utilization Management ****This Person Needs to sit in PA, NJ, or Delaware**** IntePros is seeking a Physician... ...remote capacity. This role is responsible for reviewing medical necessity determinations, applying InterQual criteria, and collaborating...Remote workMedical
- ...Dane Street is an Independent Review Organization and a national provider... ...). We are expanding our physician panel, resulting in opportunities... ...active Texas License to review the medical necessity of treatment requests and, in appeals, the medical necessity of previously...Remote workMedicalExtra incomeContract work
- ...Dane Street is an Independent Review Organization and a national provider... ...). We are expanding our physician panel, resulting in opportunities... ...following specialties to review the medical necessity of treatment requests and, in appeals, the medical necessity of previously...Remote workMedicalExtra incomeContract work
- Dane Street offers a telework opportunity for a Physician Reviewer in Nevada, allowing customization of your schedule and caseload. The role involves reviewing medical records and insurance appeals while ensuring compliance with client-specific criteria and nationally recognized...Remote workMedicalFor contractors
- ...members whose cases come for review, in partnership with case... ...managers. Participates in the Physician Review Units' appeal process of service denials.... ...duties as assigned by the Medical Director. Board Certified (... ...3-4 weekends per year remote, but must reside within one...Remote workMedicalContract workWeekend work
- ...Physician Reviewer – Utilization Management (Remote)-Full Time Overview We are seeking a Board-Certified Physician to... ...documentation and determining the medical appropriateness of inpatient, outpatient... ...Review and assess medical necessity for inpatient, outpatient, and pharmacy...Remote workMedicalFull timeLocal areaWeekend work
- ...Orthopedic Surgeon Reviewer Dane Street is seeking... ...panel of independent physician reviewers. In this role... ...expertise to conduct medical record reviews and provide... .... This fully remote opportunity offers flexible... ...assessing medical necessity, causation, appropriateness...Remote workMedicalExtra incomeFor contractorsFlexible hours
- ...Job Title External Physician Reviewer Job Type Occasional Category Medical Services Location Work from Home FSM Based - Fort Smith, AR 72903 US... ...territory of the United States when conducting appeal considerations Internet Requirements:...Remote workMedicalFull timeContract workLocal areaWork from home
$90.87 - $154.33 per hour
...benefit manager is seeking a remote Physician Clinical Reviewer specializing in... ...This position requires a medical degree (DO, MBBS, MD) and... ...reviewing cases needing medical necessity determinations, providing clinical rationales for appeals, and ensuring compliance with...Remote workMedical- ...exclusive features. Location: Remote (Must reside in IL, MT... ..., board-certified physicians to join their Medicare... ...team as Physician Reviewers. In this remote role,... ...direct patient care or medical diagnosis. Key Responsibilities... ...Review Unit’s appeals process for service...Remote workMedicalFull timeWeekend work
- ...considered. This position is located Remote United States This can be a... ...to demonstrate why an appeal should be allowed. Provides a... ...independent decisions based on medical evidence in accordance with statutes... ...NPDB) Medicare regulations or review experience, preferred Resided...Remote workMedicalFull timeContract workTemporary workPart timeFor contractorsLocal area
$90.87 - $154.33 per hour
...healthcare benefits company is seeking a Physician Clinical Reviewer for a remote position in Lincoln, Nebraska.... ...reviewing service requests for medical necessity, collaborating with physicians,... ...providing clinical rationale for appeals. Candidates must have a DO/MBBS/...Remote workMedical$211.2k - $277.2k
...Physician Reviewer - Utilization Management You will determine the medical appropriateness of inpatient, outpatient, and pharmacy services... ...Work Location: This is a remote position, open to candidates... ...alternate treatment based on medical necessity criteria and evidence-based...Remote workMedicalFull timeLocal areaWork from homeHome officeWeekend work- ...Integrated Resources, Inc ( IRI ) Title: Medical Director Location: REMOTE Duration: 06+ months (Potential for... ...Medical Director’s work includes reviewing all submitted medical records,... ...comprehensive, timely, and compliant medical necessity reviews for inpatient services....Remote workMedicalContract work
- Overview Dane Street is an Independent Review Organization and a national... ...). We are expanding our physician panel, resulting in opportunities... ...Louisiana License to address the medical necessity of treatment requests and, in appeals, the medical necessity of previously...Remote workMedicalExtra incomeContract workFor contractors
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Physician Reviewer Medical Necessity & Appeals. Be the first to apply!
- physician urgent care Dallas, TX
- physician sleep medicine Dallas, TX
- resident doctor Dallas, TX
- anesthesia physician Dallas, TX
- permanent primary care physician Dallas, TX
- medical doctor Dallas, TX
- medical director physician advisor Dallas, TX
- physician-maternal-fetal medicine Dallas, TX
- post-acute care physician Dallas, TX
- physician-ob gyn Dallas, TX

