Claims Review Physician (60189)
Capitol Bridge, Llc
Job Details
Job Location: Remote - Remote Employees, VA 12345, Position Type: Contractor, Job Shift: Any, *UPDATED* Capitol Bridge is currently seeking Board Certified Physicians, licensed in any state, for remote, 1099 contract roles across the following specialties:
- DERMATOLOGY
- GASTROENTEROLOGY
- IMMUNOLOGY
- INTERNAL MEDICINE
- MEDICAL ONCOLOGY
- OBSTETRICS
- OTOLARYNGOLOGY
- PEDIATRICS
- PLASTIC SURGERY
- PSYCHIATRY
- PULMONOLOGY
- RHEUMATOLOGY
- VASCULAR SURGERY
About Capitol Bridge
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.
Responsibilities
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.
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.
You will receive a request for a background check regarding this employment opportunity. Employment is contingent on successful passing of a background check.
Required Screenings
You will receive a request for a background check regarding this employment opportunity. Employment is contingent on successful passing of a background check.
Reasonable Accommodation
If you require alternative methods of application or screening, you must approach the employer directly to request this. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform essential functions. Other duties may be assigned.
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.
Hashtags
#hiring, #medicaldoctor, #physicianadvisor, #casemanagement, #utilizationmanagement, #medicalreview
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
$23 per hour
...Freelance Annotation Quality Reviewer (Korean) 4 days ago Be among the first 25 applicants Please submit your resume in English and... ...problematic or sensitive material, including biased language, misleading claims, or inappropriate visual content, to ensure compliance with...ClaimsPart timeFreelanceRemote work- ...expert investigative services. We investigate all types of insurance claims including workers' compensation, suspected fraud, liability and... ...of an assignment based upon the case manager's instructions Review all case materials prior to conducting investigative activity Complete...ClaimsFlexible hours
- ...malpractice liability insurance is covered by the Federal Tort Claims Act (28 U.S.C. § 1346(b)) while acting within the scope of employment... ...of Health Care Organizations. Responsibilities As a Physician (Family Medicine), you will: Duties require you to be board certified...ClaimsPermanent employmentTemporary workInternship
$4,500 per month
...with on-call Intensivist, no procedures required Five full-time Physicians and two full-time APPs Staffed with one Physician and one APP... ...including tail and free litigation support. USACS malpractice claims are less than 1/2 the national average! Intangible Benefits Location...ClaimsFull timeTemporary workLive inLocal area- ...discrepancies (Providing and importing any EOBs or material to support account audits) Collaborate with Billing to correct patient claims as needed (example reaching out to patients for medical insurance info, placing claims in queue for medical submissions with cross...ClaimsSeasonal workWork at officeDay shift
$17 - $23.25 per hour
...accordance with state, federal, and company policy. Reviews and complies with the Walgreen Co. Pharmacy Code... ...attention of the pharmacist, including those to physicians. Processes (corrects and resubmits) manual claims for third party program prescription services in...ClaimsHourly payApprenticeshipWork experience placementLocal areaImmediate startFlexible hoursAfternoon shift- .... Process debit and ATM card disputes in accordance with Regulation E, applicable Visa rules, and bank procedures, including claim review, correspondence, provisional credit, chargebacks, recovery efforts, documentation, and final resolution notices. Monitor disputes...ClaimsHourly payWork at office
$34.43k - $45.34k
...insurances and contracts and follows up on any unbatched or rejected claims or services through electronic or manual process. Processes... ...or manual processes. Prepares monthly client statements. Reviews past due accounts for non-payments, Bill Write Off (BWO), and...ClaimsFull timeWork at officeLocal area$35 per hour
...general telehealth services. Our commitment to innovation and physician support has made us a trusted name in virtual medicine. Physicians... ...virtual care, including patient assessments, medical history reviews, and appropriate treatment Deliver compassionate, patient-...For contractorsWork at office$35 per hour
...general telehealth services. Our commitment to innovation and physician support has made us a trusted name in virtual medicine. Physicians... ...virtual care, including patient assessments, medical history reviews, and appropriate treatment Deliver compassionate, patient-...For contractorsWork at office$60.9 - $82.3 per hour
...growth A problem-solver - You navigate challenges, from insurance claims to medication management, with ease Apply Today & Build Your... ...other relevant factors. This role will remain open until filled. To review benefits, please click here jobs.walgreens.com/benefits . If you...Hourly payFlexible hours$85k - $105k
...different issues including changes in exposure, additions, billing and claims concerns, renewal preparation, marketing, and more Participate... ...in client meetings pertaining to sales opportunities, mid-year reviews, and renewal discussions Be a resource for producers and...ClaimsFull time- Field Claims Representative Who We Are Solera is a global leader in data and software services that strives to transform every touchpoint of the vehicle lifecycle into a connected digital experience. In addition, we provide products and services to protect life's other...ClaimsWork at office
- ...our Data Center Technologies business. This role will lead the review, negotiation, and management of complex commercial agreements while... ...conflicting or additional terms.* Support responses to warranty claims, delay notices, liquidated damages claims, and other commercial...ClaimsContract workFlexible hours
- ...preparation, and inventory support. Support payer documentation, claims workflows, billing coordination, and follow-up. Provide... ...needs across intake, fulfillment, and service. Our hiring team reviews your qualifications. Qualified applicants are contacted for an...ClaimsFull timeWork at office
- ...accordance with state, federal, and company policy. Reviews and complies with the Walgreen Co. Pharmacy Code... ...personal attention of the pharmacist, including those to physicians.Processes (corrects and resubmits) manual claims for third party program prescription services in a...ClaimsApprenticeshipWork experience placementLocal areaImmediate startFlexible hoursAfternoon shift
- ...The ideal candidate has strong problem-solving skills to tackle claim denials, a deep understanding of compliance, and a patient-first... ...communication style. Core Responsibilities Claim Management: Prepare, review, and submit clean electronic and paper claims to clearinghouses...ClaimsHourly payContract workWork at officeFlexible hours
$45k - $140k
...the full lifecycle of contract management, including drafting, reviewing, negotiating, and organizing various contracts such as vendor agreements... ...assist attorneys in negotiating contracts. Provide support for claims management. Oversee and manage all elements of the Company’s...ClaimsContract workTemporary workWork at officeLocal area- ...data Support closeout, warranty, and punch-out processes Support development of project schedules Administer change orders and review claims Provide owner/client communication Knowledge, Skills And Abilities Construction Management Computer Aptitude Technical...ClaimsFor subcontractor
$17 - $18.15 per hour
...systems, including hospitals and affiliated physician groups. They offer end-to-end revenue... ...forms implemented for future services. Reviews eligibility responses in the insurance verification... ...billing processes to assist with a clean claim rate. Responsible for accurately...ClaimsWork at officeLocal areaRemote work$110k - $170k
...project teams and leadership. Participate in project planning meetings, production meetings, and owner/GC schedule reviews. Assist with schedule-related claims, change order support, and delay analysis. Develop workforce loading projections and manpower forecasts. Support...ClaimsContract workFor contractors$37.66 - $44.33 per hour
...products and services designed to meet the unique coverage and claims-handling needs of businesses. The Argo entities are wholly-owned... ...employees to interact with senior management, especially for reviewing large losses. Our claims team works collaboratively to resolve...ClaimsHourly payTemporary workRemote work- ...What does a Medical Billing and Coding Specialist do? A medical billing and coding specialist processes and codes healthcare claims to ensure accurate billing and insurance reimbursement, supporting the financial operations of healthcare facilities. Highlights...Claims
- ...Representative to provide exceptional service to health insurance members. The role involves handling inquiries related to benefits, claims, and billing while ensuring a positive member experience. The ideal candidate will have at least one year of customer service...ClaimsFull timePart timeRemote work
$60.9 - $82.3 per hour
...growth A problem-solver – You navigate challenges, from insurance claims to medication management, with ease Apply Today & Build Your... ...factors. This role will remain open until filled. xhyhwjd To review benefits, please click here /benefits. If you are applying on a...Hourly payFlexible hours- ..., VA. In this hybrid role, you will handle complex insurance defense matters from inception through trial while collaborating with claims and business partners across the organization. Position Overview: Independently investigates and manages cases of moderate to high...ClaimsFull timeWork at officeShift work
$90k - $100k
...is non-negotiable. Only those who embody this pursuit of perfection and possess these concrete qualifications need step forward to claim this high-stakes role. Are you ready to stop refining and start defining the future of manufacturing? If you're ready to join a dynamic...Claims$16 - $18 per hour
...pharmacy errors and the Quality Improvement Program. Reviews and complies with the Walgreen Co. Pharmacy Code... ...attention of the pharmacist, including those to physicians. Processes (corrects and resubmits) manual claims for third party program prescription services in a...ClaimsHourly payWork experience placementSeasonal workLocal areaImmediate startFlexible hoursShift workAfternoon shift$124.53k - $185.23k
...healthcare management systems (on Facets platform). Experience with .NET (C#, ASP.NET, SQL Server) and Guiding Care. Experience with claims processing, benefits management, and provider network management in the healthcare space. Strong familiarity with databases and...ClaimsFull timeRemote work- ...role is ideal for licensed investigators wanting flexible hours while providing expert investigative services for various insurance claims. Responsibilities include conducting video surveillance, securing statements, and adhering to client instructions. Candidates must...Flexible hours
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Claims Review Physician (60189). Be the first to apply!
- permanent primary care physician Virginia, MN
- medical marijuana physician Virginia, MN
- supervising physician Virginia, MN
- doctor on call Virginia, MN
- physician Virginia, MN
- physician sleep medicine Virginia, MN
- drug safety physician Virginia, MN
- physician consultant remote Virginia, MN
- safety physician Virginia, MN
- physician medical doctor Virginia, MN





