Physician reviewer jobs in Frisco, TX

 ...supervision, assigns medical necessity requests to a qualified reviewer and follows-up to ensure timely determination is delivered...  ...Responsibilities: The Details Communicates directly with customer and physician advisor and tracks cases to ensure case is completed and... 

 ...behavioral health clinical treatment team. Conducts clinical reviews in accordance with certification requirements of insurance...  ...reviews between the facility treatment provider and the managed care physician. Assists the Assessment Department with completion of the... 

 ...innovators to join our fast-paced, forward-thinking team. Careington International Corporation is looking to add a Compliance Review Specialist to our current Compliance team. This position will require you to work onsite three days per week at our Frisco, TX, corporate... 

This position is contingent on a contract award. Conducts reviews of clinical interactions and clinical documentation including reviews of case management records and provider treatment records. Collects data following established procedures and analyzes findings for... 

 ...Position Overview: The Inpatient DRG Reviewer will be primarily responsible for conducting post-service, pre-payment and post pay...  ...supplied by the provider in the form of medical records such as physician notes, lab tests, images (x-rays etc.), and with due... 

ezURS.com Inc., has an ongoing need for Pain Management Physician Consultants to perform a wide variety of world-class utilization review, disability, peer reviews products in multiple lines of business including health, workers compensation, and auto liability cases.... 

ezURS.com Inc., has an ongoing need for Physician Consultants to perform a wide variety of world-class utilization review, disability, peer reviews products in multiple lines of business including health, workers compensation,and auto and liability\ \ Opportunity to... 

Summary: The Sr Vice President, Credit Review is charged with steering the strategic management, oversight and governance necessary to identify, evaluate and monitor the company’s loan review and credit and compliance risk related to lending activities. This key role is... 

ezURS.com Inc., has an ongoing need for Physician Consultants to perform a wide variety of world-class utilization review, disability, peer reviews products in multiple lines of business including health, workers compensation, and auto liability Opportunity to work remotely... 

 ...GENERAL PURPOSE: Accurate and timely coding and review of home health OASIS assessments and plan of care to ensure compliance with...  ...with interdisciplinary teams including nurses, therapists, and physicians to resolve discrepancies and ensure comprehensive documentation... 

 ...Medical Reviewer II - RN (TX, OK, NM, MT & IL) At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding... 

JOB SUMMARY This job is responsible for ensuring that all appropriate billing charges for complex service lines are being captured, documented, charged and reimbursed for the assigned department in accordance with policies and procedures, and applicable regulatory standards...

Job Description This opportunity is in Plano, located 19 miles north of downtown Dallas, It is the 9th-largest city in Texas and 4th-largest city in the Dallas/Fort Worth region. Plano is home to many leading global corporations, including several Fortune 1,000 companies...

 ...Be the spark that brightens days and ignite your career with TTEC's award-winning employment experience. As an Image Review Clerk working remotely in Texas , you'll be a part of bringing humanity to business. #experienceTTEC What You'll be Doing Do you have... 

 ...guiding us every step of the way. Join us to invest in yourself, your career, and the financial world. Job Summary: The Credit Risk Review Leader for the Second Line of Defense in our OCC-regulated bank leads the Consumer Loan Review team. This team independently... 

 ...Vice President, Wholesale Credit Review About the Company Diverse financial services firm & investment bank Industry Financial Services Type Public Company Founded 2000 Employees 10,001+ Categories Financial Services Finance Banking... 

 ...core values guiding us every step of the way. Join us to invest in yourself, your career, and the financial world. The role: The Loan Review Quality Assurance Lead (QAL) conducts Quality Assurance (QA) reviews of the Credit Risk Review (CRR) function of independently... 

 ...situation, preferences, and goals. Contact Tina Oko ****@*****.*** (***) ***-****. ~100% outpatient ~ Replacing a physician that's moving out of state ~ Located on the northeastern corner of Dallas ~ Thriving private practice opportunity ~ Must be... 

Position : -Network security with a good understanding of Firewall and the rule review process (L3 level) Location: - Plano TX, - Hybrid role:-3 days Onsite(Tue/Wed & Thur) and 2 days remote Duration: Contract Job Description: Note:-Should have good understanding... 

Job Description You will enjoy living and working in this popular Texas city. Dallas, TX, has exceptional nightlife, great schools for your kids, fine dining, wide-ranging shopping opportunities, and every kind of amenity you might want. Your CompHealth recruiter...