Remote Medical Lab Reviewer for Claims & TARs
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Gainwell Technologies is seeking a Medical Reviewer (Laboratory Specialist) to provide laboratory subject-matter expertise supporting Medical Review Services for California healthcare programs. In this role, you will review laboratory-related claims, TARs, orders, and supporting documentation to help ensure laboratory services meet applicable coverage, medical necessity, and program requirements. The role is full-time with a remote work environment and a Monday–Friday schedule. #J-18808-Ljbffr Socket.dev
- Gainwell Technologies is seeking a Medical Reviewer (Laboratory Specialist) to provide laboratory subject-matter expertise supporting Medical... ...programs. In this role, you will review laboratory-related claims, TARs, orders, and supporting documentation to ensure laboratory...Remote jobClaims
$50k - $60k
...It takes great medical minds to create powerful solutions... ...is seeking a Medical Reviewer (Laboratory Specialist)... ...review laboratory-related claims, Treatment Authorization Requests (TARs), orders, and supporting... ...Full-time position. Remote work environment. Monday...Remote workClaimsFull timeHome officeMonday to FridayFlexible hours- Gainwell Technologies is seeking a Medical Reviewer (Durable Medical Equipment Specialist) to... ...California programs. You will review DME claims, TARs, prescriptions, and supporting medical... ...compliance. The role emphasizes remote work with a full-time schedule, collaboration...Remote jobClaimsFull time
- Gainwell Technologies is seeking a Medical Reviewer (Durable Medical Equipment Specialist) to provide subject-matter expertise... ..., you will review durable medical equipment (DME) claims, Treatment Authorization Requests (TARs), prescriptions, and supporting medical...Remote jobClaims
- Gainwell Technologies is seeking a Medical Reviewer (Physician) to support Medical Review Services for California healthcare programs... ...-level clinical expertise supporting medical policy, claim adjudication, TARs, appeals, provider-related medical review activities, and...Remote jobClaims
- Gainwell Technologies is seeking a Medical Reviewer (Physical Therapist) to provide clinical expertise supporting California Medical Review Services. You will review therapy-related records, claims, TARs, treatment plans, and supporting docs to ensure services meet clinical...Remote jobClaimsWork from homeHome office
- Gainwell Technologies is seeking a Medical Reviewer (Radiologist) to provide physician-level... ...Services. You will review radiology-related claims, TARs, and medical records to ensure medical... ...program compliance. The role is fully remote in California with a Monday-Friday...Remote jobClaimsMonday to FridayFlexible hours
$70k - $90k
...It takes great medical minds to create powerful solutions... ...is seeking a Medical Reviewer (Prosthetic and Orthotic... ...orthotic device requests, claims, Treatment Authorization Requests (TARs), prescriptions, and... ...Full-time position. Remote work environment. Monday...Remote workClaimsFull timeWork from homeHome officeMonday to FridayFlexible hours- ...Medical Reviewer (Registered Nurse) - Remote CA It takes great medical minds to create powerful solutions that... ...medical records, healthcare services, claims, and authorization requests.... ...treatment authorization requests (TARs) and other authorization activities...Remote jobClaimsFull timeHome officeMonday to FridayFlexible hours
$140k - $160k
...It takes great medical minds to create powerful solutions... ...is seeking a Medical Reviewer (Physician) to support... ...medical policy, claim adjudication, Treatment... ...Authorization Requests (TARs), appeals, provider-related... ...Full-time position. Remote work environment. Monday...Remote workClaimsFull timeWork from homeHome officeMonday to FridayFlexible hours$150k - $175k
...Medical Reviewer (Radiologist) - Remote CA It takes great medical minds to create powerful solutions that solve some of healthcare... ...this role, you will review radiology-related claims, Treatment Authorization Requests (TARs), medical records, and supporting clinical...Remote jobClaimsFull timeWork from homeHome officeMonday to FridayFlexible hours$110k - $130k
...It takes great medical minds to create powerful solutions... ...is seeking a Medical Reviewer (Podiatrist) to provide... ...related medical records, claims, Treatment Authorization Requests (TARs), and supporting clinical... ...Full-time position. Remote work environment. Monday...Remote workClaimsFull timeWork from homeHome officeMonday to FridayFlexible hours$150k - $175k
...It takes great medical minds to create powerful solutions... ...is seeking a Medical Reviewer (Radiologist) to provide... ...review radiology-related claims, Treatment Authorization Requests (TARs), medical records, and supporting... ...Full-time position. Remote work environment....Remote workClaimsFull timeWork from homeHome officeMonday to FridayFlexible hours- ...Remote Medical Case Reviewer (Contract) Location: Remote About the Opportunity PsyPhyCare is seeking Medical Case Reviewers to support... ...on evaluating vaccine- and countermeasure-related injury claims. These programs provide compensation for individuals who may...Remote workClaimsHourly payContract work
- A healthcare company is seeking a Remote Medical Case Reviewer to evaluate vaccine and countermeasure-related injury claims. Responsibilities include reviewing medical case files, preparing reports, and consulting with medical experts. Candidates must hold an MD/DO or relevant...Remote jobClaimsContract work
- Peraton is seeking a Medical Reviewer for SafeGuard Services (SGS) to conduct medical record reviews and apply clinical judgment to claim decisions. You will research claims data, identify problems, and support fraud investigations using a range of tools. The role requires...Remote jobClaims
$70 - $90 per hour
...Medical Reviewer Pay Range: $70 to $90 an hour. Client Industry: Pharmaceutical Job Mode: Remote Duration: 6 months contract with potential extension Job Summary: The Medical... ...materials. Review promotional claims, supporting data, references, and medical...Remote workClaimsContract workTemporary work- SafeGuard Services (SGS), a Peraton subsidiary, seeks a Medical Reviewer to conduct medical record reviews and apply clinical judgment to claim payments. You will research claims data and other sources to identify issues, support fraud investigations, and develop cases...Remote jobClaims
- Gainwell Technologies is seeking a Medical Reviewer (Registered Nurse) to support California healthcare programs.... ...to review medical records, healthcare services, claims, and authorization requests. You will work remotely within California with flexible hours, contributing...Remote jobClaimsFlexible hours
- ...RN / Medical Reviewer / Remote Job Details Professional Discipline : Registered Nurse Specialty : Utilization Review... ...monitor medical necessity using your clinical proficiency and claims knowledge. This is a REMOTE opportunity for candidates...Remote workClaimsFull timeContract workLocal areaShift work
- ...BlueCross BlueShield South Carolina subsidiary, seeks a Medical Reviewer II (RN) to perform medical claim reviews and determine medical necessity using... ...utilization review across multiple services. The position is remote, full-time, with standard hours 8:00 AM-5:00 PM ET,...Remote jobClaimsFull time
- ...Mississippi, seeks an experienced Registered Nurse to perform medical review of complex claims, pre-authorization requests, appeals, and fraud referrals... ...and support accurate payment determinations. The role is remote and full-time, requiring an active RN license and at...Remote jobClaimsFull time
- Peraton’s SafeGuard Services seeks a Nurse Reviewer to conduct medical record reviews, applying clinical judgment to claim payments and supporting fraud investigations. Telework is available from any state. The ideal candidate will hold a US nursing license, have 5+ years...Remote jobClaims
$122.91k - $188.02k
...Profile Summary A vital role of the CMO Administration team, the Medical Peer Reviewer plays a critical role in consulting on medical necessity in... ...Reviewer will assess/review requests for authorization, and claims payment, based on medical records and internal Healthfirst...Remote jobClaimsTemporary workPart timeWork experience placementFlexible hoursWeekend work3 days per weekWeekday work- J29, Inc. is seeking a Medical Reviewer, RN to support Medicare FFS claims reviews remotely. You will apply CMS guidelines to assess overpayments and proper payments, documenting findings for each claim. The ideal candidate has 5+ years of medical coding/billing in healthcare...Remote jobClaimsWork experience placement
- Broadway Ventures is seeking an experienced Registered Nurse to perform medical review of complex claims, pre-authorization requests, appeals, and fraud and abuse referrals. This remote, full-time role requires applying clinical expertise and established guidelines to determine...Remote jobClaimsFull time
$62k - $65k
...your trusted partner in innovation. Registered nurse (RN) Medical Reviewer Location: Remote Type: Full-Time Rate: $62-$65K About Broadway Ventures... ...Registered Nurse to perform medical review of complex claims, pre-authorization requests, appeals, and fraud and abuse...Remote jobClaimsFull timeContract workTemporary workFor contractorsWork at office- ...Medical Reviewer, RN - Temporary Position Location: Remote *This role is a temporary position and that employment is expected to be for a limited duration.... ...providing processing, review, and analysis of medical claims, records, data, and audits between areas of...Remote workClaimsFull timeTemporary workFor contractorsLocal area
$23 - $25 per hour
...Medical Biller/Coder – Multi-Specialty Physician GroupMidwest Physician... ...to join our Billing Team!Remote Position – Onsite Training RequiredThis... ...entryMedical coding and review of documentation for... ...collectionsResearching and resolving claim issues and billing discrepanciesReviewing...Remote workClaimsHourly payFull timeWork at officeWork from home- ...s care is reflected to the world. What You'll Do: Review inpatient medical records concurrently and retrospectively to identify documentation... ...management with clinical justifications for appealed claims Collaborate with coding teams to ensure accurate DRG...Remote workClaims
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