Claims Review Physician (57795)
CAPITOL BRIDGE, LLC
Claims Review Physician
Fully Remote
Overview
Position Type Contractor Job Shift Any
Description
Capitol Bridge is currently seeking Board Certified Physicians, licensed in any state, for remote, 1099 contract roles across the following specialties: DERMATOLOGY GASTROENTEROLOGY IMMUNOLOGY MEDICAL ONCOLOGY OTOLARYNGOLOGY PLASTIC SURGERY PSYCHIATRY PULMONOLOGY RHEUMATOLOGY VASCULAR SURGERY. Founded in 2012, Capitol Bridge is based in Arlington, Virginia and has proven expertise providing independent medical reviews, records/data management services, medical coding, administrative staffing and eligibility reviews. We are looking to build our panel of Claims Review Physicians. This is a flexible, fully remote 1099 opportunity.
You will be responsible for resolving claim disputes submitted by various parties such as physicians, hospitals, institutions, pharmacies, and other licensed healthcare providers. Additionally, provide assistance to contracted and non-contracted health care providers and health care plans for resolution of claims disputes. Your role requires conducting all job duties efficiently, promptly, productively, consistently, and courteously, while maintaining a high level of professionalism.
Qualifications
Requirements: -Must be an MD or DO -Must be Board Certified -Must have 5 years patient care experience within the last 2 years -Must have an unrestricted Medical License Compensation: Approximately $250 per case depending on case requirements. Employment is contingent on successful passing of a background check. EEO Statement Capitol Bridge LLC. is an Equal Opportunity Employer. All employment decisions at Capitol Bridge are based on business needs, job requirements, and individual qualifications, without regard to race, color, religion or belief, national, social, or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status protected by the laws or regulations in the locations where we operate. Texting Notice We communicate with applicants by text in addition to email and phone. If you apply for this position, we may text you about this position, your application for the position, or other things relevant to this job position. If we text you and you no longer want us to text you, you can opt-out at that time.
- 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,...ClaimsFor contractorsRemote workMonday to FridayFlexible hours
- ...Summary: We are seeking a highly experienced DRG Clinical Physician Reviewer to join our growing clinical review team. This is a fully... ...documentation review) ~ Experience with DRG Validation, CDI, or claims review strongly preferred ~ Proven ability to interpret...ClaimsRemote work
- ...Neurosurgeon, Neurologist, and Physical Medicine & Rehabilitation physician to process utilization reviews. Work's Compensation experience is preferred but not... ...clinical expertise, and reviews workers' compensation claims by providing an interpretation of the medical...ClaimsFor contractorsRemote workMonday to Friday
- ...related care interventions. We are a 50-state physician, registered nurse, and genetic counselor... ...support asynchronous medical necessity review following a completed genetic counseling... ...rendered under this role will support claims submitted to federal payers. As such, strict...ClaimsContract workRemote workFlexible hours
- ...industry player is seeking Board Certified physicians in Physical Medicine & Rehabilitation,... ...for Independent Medical Exams and Peer Reviews. This role offers the flexibility to customize... ...clinical expertise to review disability claims, ensuring compliance with regulations...ClaimsFor contractorsMonday to FridayFlexible hours
- ...searching for Board Certified Internal Medicine physicians to conduct Independent Medical Exams (IME) and Peer Reviews. This opportunity allows you to customize your schedule... ...clinical expertise, and reviews disability claims by providing an interpretation of the medical...ClaimsFor contractorsMonday to Friday
- ...maintaining client‑mandated turnaround times. Our reviewers are compensated on a per‑case basis as a... ...must hold an active NM License. Physician Specialties: Endocrinology... ...appeals, and prospective and retrospective claims. The physician reviewer will provide an...ClaimsFor contractorsRemote work
- ...Ophthalmologist Telecommute Medical Review Stream Physician Location US-LA-New Orleans Job ID 342758 Pos. Type... ...JOB SUMMARY: Relying on clinical background, reviews health claims providing medical interpretation and decisions about the appropriateness...ClaimsContract workTemporary workFor contractorsLocal areaRemote workMonday to FridayFlexible hours
$88.7 - $140 per hour
...sector. Job Summary and Responsibilities Acentra Health is looking for a Physician Medical Reviewer to join our growing team. Job Summary: The primary responsibilities of a Physician Medical Claims Reviewer include conducting independent medical service appeal reviews,...ClaimsReliefLocal areaRemote work$285.23k - $332.26k
...Mso Physician Reviewer Burlingame, CA 94010 Overview Salary Range $285,229.20 - $332,260.00 Salary Description The MSO Physician... ...in the appeals and grievance process by reviewing denied claims and reconsidering medical necessity based on additional documentation...ClaimsFull time- ...Job Description Job Description Physician Peer Reviewer – Multiple Specialties in Texas and/or New Mexico Overview Federal Hearings... ...state of TEXAS or NEW MEXICO to assist with independent review claims and appeals in any of the following specialties:...ClaimsContract workWork experience placementWork at officeRemote work
- ...This is an employed civilian Supervisory Physician (Psychiatry ) position that affords job security... ...quality improvement studies, utilization review, risk management, and peer review... ...as they are covered by the Federal Tort Claims Act (28 U.S.C. § 1346(b)) while acting within...ClaimsPermanent employmentTemporary work
$230.18k
...Job Description & Requirements OBGYN Physician StartDate: ASAP Pay Rate: $450000.00 -... ...off (includes 5 CME days), CME allowance, claims-made malpractice with tail , life/AD&D,... ...housing mix (Niche, 2025): [worldpopul...review.com] Facility Location Situated on...ClaimsFull timeImmediate startRelocationRelocation package- Dane Street, LLC offers a telework opportunity for a physician reviewer specializing in Hematology/Medical Oncology. The role involves reviewing medical claims and interpretations based on client-specific criteria while adhering to turnaround times. Responsibilities include...ClaimsRemote jobContract work
$112.7k - $193.2k
...Clinical Review Dentist At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing... ...is a production role that supports the dental director on claims review. Strong knowledge of dental procedures, terminology and related...ClaimsMinimum wageFull timeWork experience placementLocal areaRemote workWeekend work- ...as they are covered by the Federal Tort Claims Act (28 U.S.C. § 1346(b)) while acting within... ...College Towns in America (Best College Reviews) . Top 10 Best Places to Retire Young... ...document . Basic Requirement for Physician: Degree: Doctor of Medicine, Doctor...ClaimsPermanent employmentInternshipLive inLocal areaRelocation packageAll shiftsNight shift
- ...perfect dream job could be right under your nose as a Estimate Reviewer Specialist in our St. Louis office for our Strategic Partners Group... ..., detail oriented and customer service driven property claims adjuster to conduct detailed technical reviews of property insurance...ClaimsFor contractorsWork at officeRemote workMonday to Friday
- ...Elizabeth is seeking a full time, in-person Physician Advisor to join the team in Beaumont, TX!... ...of Quality Assurance and Utilization Review Physicians, Inc (ABQUARP) - preferred -... ...resolve medical necessity issues prior to claims submission. In collaboration with the...ClaimsFull timeRelocation package
$5,000 per month
...Physician - OBGYN Looking for a Board Certified/Board Eligible OB/GYN to join our well established... ...Malpractice Insurance Coverage: in a claims made insurance, in an amount of $2,000,00... ...laws. For further information, please review the Know Your Rights notice from the...ClaimsContract workTraineeshipWork at officeRelocation packageWeekend work- 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...Contract workFor contractorsRemote work
$39.17k
...Claims Review Specialist Location: Little Rock, AR, US, 72201 Category: AR DEPT OF HUMAN SERVICES Anticipated Starting Salary: $39,170.98 Position Number: 22112145 County: Pulaski Posting End Date: August 3, 2026 Job Duties Assists with various audits, including...ClaimsWork at office- 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
- ...consultant in Franklin, Wisconsin to provide medical expertise and support during disability claims assessments. The ideal candidate will have 5-8 years of relevant nursing or physician assistant experience, excellent communication skills, and a solid understanding of...Claims
- ...Dane Street is expanding our physician panel! We are seeking a skilled and board-certified... ...panel is comprised of independent contract reviewers (1099) compensated on a per-case basis.... ...Respond to clinical queries to support claims management Deliver detailed IME...ClaimsContract workFlexible hours
- ...Job Description As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise and reviews insurance appeals, and prospective and retrospective claims. The Physician Reviewer will provide an interpretation of the medical necessity...Claims
- ...Medlogix, LLC delivers innovative medical claims solutions through a seamless collaboration of our Medlogix® technology, our highly skilled... ...located in Northville, Michigan. Provides comprehensive Medical Review Services, Medical Case Management Services and Vocational...ClaimsFull timeWork at officeRemote work
- ...scope of practice and training). Collaborate with physicians, chiropractors, therapists, and other team... ...options, and rehabilitation goals. Participate in case reviews and provide medical insight for personal injury claims when appropriate. Qualifications Current and unrestricted...ClaimsFull time
- A healthcare review organization seeks a Physician Reviewer/Advisor in Delaware, Ohio. This role involves utilizing clinical expertise to review insurance appeals and claims while ensuring compliance with established guidelines. Responsibilities include thorough medical...Extra income
- ...position is responsible for maintaining proper clinical review and interpretation of medical records and claim documentation to assist with the appeals of denied... ...), Nurse Practitioner (including CNP, LNP, NPC), Physician Assistant, Physician, or other qualified healthcare...Claims
$28 - $31 per hour
...Mortgage Servicing Consultant is responsible for performing detailed reviews of mortgage documents, ensuring regulatory compliance,... ...accuracy according to the Note and applicable regulations. Review claims filed with mortgage insurance providers to confirm proper...ClaimsContract workFlexible hoursNight shift
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Claims Review Physician (57795). Be the first to apply!
- doctor of optometry United States
- physician-plastic surgery United States
- drug safety physician United States
- pain management physician United States
- physician consultant remote United States
- permanent primary care physician United States
- critical care physician United States
- pm&r physician United States
- primary care sports medicine physician United States
- outpatient primary care physician United States


