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

Clinical Peer Reviewer - Utilization & Compliance

$122.91k - $188.02k

Health First

Healthfirst is seeking a Medical Peer Reviewer in Connecticut to join the CMO Administration team. This vital role involves consulting on medical necessity and ensuring adherence to regulations while reviewing authorization requests and claims. The ideal candidate will be a licensed physician with board certification, ensuring compliance and productivity standards. Full-time positions require weekend coverage, and Healthfirst offers a competitive salary range of $122,907 - $188,020, depending on experience. #J-18808-Ljbffr

Vacancy posted 14 hours ago
Similar jobs that could be interesting for youBased on the Clinical Peer Reviewer - Utilization & Compliance in Hartford, CT vacancy
  •  ...specified physician practice/office or clinical care center. Cross-trained in both front...  ...position as directed by Office Manager. Utilizes some judgement to interpret departmental...  ...effectively both orally and in writing Gather, review and compile information and prepare... 
    Suggested
    Work at office
    Flexible hours
    Shift work
    Weekend work
    Afternoon shift

    Connecticut Children's

    Hartford, CT
    1 day ago
  •  ...and maintaining accurate records. Also supports providers and clinical staff with administrative tasks such as chart preparation and...  ...Answers telephones in a timely, courteous, and professional manner utilizing appropriate scripting. Processes calls to ensure patients are... 
    Suggested
    Work at office
    Local area
    Day shift

    Trinity Health

    Hartford, CT
    2 days ago
  •  ...professional manner identifying themselves and their department. Answers telephones in a timely, courteous, and professional manner utilizing appropriate scripting. Processes calls to ensure patients are transferred to the appropriate staff member/provider in a timely... 
    Suggested
    Full time
    Work at office
    Local area
    Shift work
    Day shift

    Trinity Health

    Hartford, CT
    4 days ago
  •  ...a mandatory CPC certification. This position requires exceptional communication skills to effectively educate clinical providers and ensure compliance with industry standards. The company is committed to diversity and inclusivity in the workplace. #J-18808-Ljbffr
    Suggested
    Remote work

    Insight Global

    Hartford, CT
    1 day ago
  •  ...professional manner identifying themselves and their department. Answers telephones in a timely, courteous, and professional manner utilizing appropriate scripting. Processes calls to ensure patients are transferred to the appropriate staff member/provider in a timely... 
    Suggested
    Work at office
    Local area
    Day shift

    Trinity Health

    Hartford, CT
    2 days ago
  • $32 - $42 per hour

     ...with colleagues, management, and hospital staff, while addressing clinical and reimbursement issues Occasionally travel for...  ...etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis... 
    Hourly pay
    Relief
    Remote work
    Relocation package
    Flexible hours

    Datavant

    Hartford, CT
    4 days ago
  • $32 - $42 per hour

     ...with colleagues, management, and hospital staff, while addressing clinical and reimbursement issues What You Need to Succeed: A...  ...facility. Experience with significant level of coding quality review feedback Experience in computerized encoding and abstracting... 
    Hourly pay
    Relief
    Remote work
    Relocation package
    Flexible hours

    Datavant

    Hartford, CT
    6 days ago
  • $50 - $60 per hour

    A healthcare technology company is seeking a Clinical Reviewer to enhance AI models through comprehensive evaluation. The ideal candidate must have a medical degree and fluency in English. The role allows for flexible hours and is available as both full-time and part-time... 
    Hourly pay
    Full time
    Part time
    Remote work
    Flexible hours

    DataAnnotation

    Hartford, CT
    3 days ago
  • Job Description Job Description Dental Receptionist/Patient Care Coordinator Newington Children’s Dentistry is a state of the art pediatric dental office located in Newington, Connecticut. Currently our pediatric dental practice is seeking a dynamic, organized...
    Full time
    Work at office

    Newington Children''s Dentistry

    Newington, CT
    1 day ago
  •  ...Medical Assistant (Clinical) Our busy orthopedic ambulatory surgery center provides outpatient surgical procedures to Rocky Hill, CT and...  .... OASC's patient satisfaction ratings is over 95%! The Center utilizes the most advanced sterilization equipment and technology in the... 
    Temporary work
    Shift work

    Orthopedic Associates Surgery Center

    Rocky Hill, CT
    5 days ago
  •  ...card, processes insurance verifications utilizing the online system, and updates the patient...  ...Confirms future appointments as needed. Review Eligibility and Phone report. Schedules...  ...with Patient Care Resources and clinical staff to ensure timely pre‑authorizations... 
    Daily paid
    Work at office
    Local area

    Starling Physicians

    Wethersfield, CT
    4 days ago
  • $16.15 - $28.8 per hour

     ..., pharmacy benefits, data and resources they need to feel their best.   Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance... 
    Hourly pay
    Minimum wage
    Full time
    Work experience placement
    Work at office
    Local area
    Immediate start
    Monday to Friday
    Shift work

    UnitedHealth Group

    Manchester, CT
    11 days ago
  • $19 - $20 per hour

    Medical Receptionist - Hartford County Hartford, CT Employment Type: Temp to Hire Industry: Healthcare Job Number: 11908 Salary / Pay Rate: $19.00 to $20.00 Per Hour Job Description Medical Receptionist - Front Desk Immediate Needs J. Morrissey is recruiting...
    Hourly pay
    Full time
    Temporary work
    Immediate start
    Monday to Friday

    J. Morrissey

    Hartford, CT
    4 days ago
  • Saint Francis Hospital in Hartford, CT, is seeking a Unit Secretary for the night shift. The role coordinates patient flow on the unit and provides clerical support to the unit. Responsibilities include processing orders, preparing and disassembling patient charts, and...
    Night shift

    Trinity Health

    Hartford, CT
    1 day ago
  • $20 - $25.3 per hour

    Join Midstate Radiology Associates Midstate Radiology Associates (MRA) is looking for a Part Time, 1st Shift, Patient Representative at our West Hartford Imaging Location. Position Schedule: Saturday 8:00 AM - 4:30 PM. Compensation: MRA offers competitive starting...
    Hourly pay
    Part time
    Local area
    Day shift

    Midstate Radiology Associates

    Hartford, CT
    5 days ago
  • $17 - $31.36 per hour

    Job Summary Responsible for performing various administrative, secretarial and clerical duties. Understands and follows the organization's policies, procedures and standards. Is an independent worker, meeting the day-to-day needs of the director and the department. Participates...
    Hourly pay
    Daily paid
    Work at office
    Immediate start
    Flexible hours

    Women Veterans Interactive

    Hartford, CT
    2 days ago
  •  ...a full scope of medical services largely geared to underserved populations Receive strong clinical support services and work in an innovative practice environment utilizing Advanced Access scheduling Be part of a multi-disciplinary practice that offers a blend of... 
    Full time

    Moses-weitzman Health System

    New Britain, CT
    1 day ago
  •  ...secretarial, billing and clerical duties. Responsibilities include: utilizing the electronic medical record (EMR) to schedule initial...  ...assigned. The Patient Representative provides support to the clinical staff to provide optimum service to patients. High School Diploma... 
    Work at office

    Hartford Healthcare

    New Britain, CT
    1 day ago
  • Treatment Coordinator / Dental Receptionist At Oscar Gonzalez, DDS, an office within Dental Associates of Connecticut, our mission is to provide quality dental and personal care to all our patients in a relaxed and comfortable environment in which patients feel welcomed...
    Work at office
    Flexible hours
    Shift work
    Afternoon shift

    Archway Dental Partners

    West Hartford, CT
    1 day ago
  •  ...compromised. You will be responsible for providing administrative and clinical support to ensure efficient operation of a busy full scope...  ...patient screening and brief assessment of problems, medication review, obtaining full vital signs, Urinalysis, EKG, A1C, and... 
    Part time

    Prime Healthcare, PC

    West Hartford, CT
    9 days ago
  •  ...family members Maintains proficiency with office computer systems. Performs clerical duties in a fast-paced environment : Supports clinical staff with clerical and clinical tasks with positive energy Requirements : Education Associates preferred 1-2 years' experience... 
    Full time
    Work at office
    Local area
    Shift work
    Day shift

    Trinity Health

    Hartford, CT
    3 days ago
  • $18 - $21.74 per hour

     ...maintain file system Keep Font Desk and Lobby area clean Billing Process payments Print daily close out reports on scheduling system and review for accuracy. Fill deposit slips for all received cash and checks Physical Demands: Reasonable accommodations may be made to enable... 
    Full time
    Night shift

    Sono Bello

    Hartford, CT
    1 day ago
  •  ...Scheduling * Rewarding Compensation * 401K with company match * Clinical specialty opportunities Hartford HealthCare Medical Group is...  ...patients of essential preparation requirements prior to visit. * Reviews daily Televox report of appointment confirmations to ensure accurate... 
    Work at office
    Flexible hours

    Hartford Healthcare

    Hartford, CT
    1 day ago
  •  ...policies (referrals, x-rays, medical reports, etc.). * Ensures that office appointment schedule is coordinated with clinical staff activities. * Reviews assigned appointment confirmations to ensure accurate schedule and appropriate communications with patients; completes... 
    Full time
    Part time
    Work at office
    Monday to Friday

    Hartford Healthcare

    Hartford, CT
    1 day ago
  •  ...patients and clients in the Hoffman Heart and Vascular Institute and is responsible for the coordination of administrative tasks and clinical support for the Physicians and Practitioners. The Medical Secretary has administrative responsibilities for approximately 30% of... 
    Full time
    Work at office
    Local area
    Shift work
    Night shift
    Weekend work
    Day shift

    Trinity Health

    Hartford, CT
    1 day ago
  • $17.5 per hour

     ...generates reports and analysis to maintain the clinical program's goals. Job responsibilities: •...  ...opportunities to leadership ensuring compliance to policies, legal requirements and...  ...applying, you acknowledge and agree that your application may be reviewed using AI tools.... 
    Contract work
    Temporary work
    Remote work
    Shift work
    Weekend work
    Afternoon shift

    TEKsystems

    Hartford, CT
    7 days ago
  •  ...Responsibilities Receive Tiger Texts (TT) from different teams and providers and distribute those TT to the correct person on our team for review based on provided algorithm Track new patients coming onto our service on our daily sign out and in EPIC until a bed is assigned... 
    Work at office
    Shift work

    Hartford Healthcare

    Hartford, CT
    1 day ago
  • Patient Service Representative (PSR) ZOLL, manufacturer of the LifeVest wearable defibrillator, is seeking a Patient Service Representative as an independent contract worker to train patients on the use of the LifeVest. The LifeVest wearable defibrillator is worn...
    Contract work
    Weekend work
    Afternoon shift

    ZOLL LifeVest

    West Hartford, CT
    4 days ago
  • Hearing Ambassador The Hearing Ambassador assists and helps the licensed dispenser meet their goals and fulfill their daily duties. This role is responsible for engaging customers, supporting hearing health needs, educating individuals about hearing wellness, scheduling...
    Work at office
    Immediate start

    NationsBenefits

    Newington, CT
    3 days ago
  •  ...benefits to their members that address the social determinants of health and improve member health outcomes and satisfaction. Our compliance-focused infrastructure, proprietary technology systems, and premier service delivery model allow our health plan partners to... 
    Work at office
    Immediate start
    Flexible hours

    NationsBenefits, LLC

    Newington, CT
    13 hours ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Clinical Peer Reviewer - Utilization & Compliance. Be the first to apply!