Physician Reviewer (Full time)

Job Title

External Physician Reviewer

Job Type

Occasional

Category

Medical Services

Location

Work from Home FSM Based - Fort Smith, AR 72903 US

Work from Home LR Based - Little Rock, AR 72201 US (Primary)

Education

Professional

Travel

Job Description

AFMC is looking to contract with physicians to complete prior authorizations and retrospective reviews on a home laptop or desktop computer. Compensation is paid by review completed.

Specialists Needed:

Hospitalist

Oral Surgeon

ENT

Physical Medicine & Rehabilitation

Pulmonologist

Neurologist

Gastroenterologist

Geneticist

Nephrologist

Oncologist

OB/Gyn

Plastic Surgery

Scope of Services:

The types of reviews AFMC Clinical Services completes are Medicaid prior authorizations and retrospective reviews.

Perform assigned initial and reconsideration reviews such as:

Prior authorizations for:

Durable Medical Equipment, Hyperalimentation, Ventilators, and Wheelchairs

Medical/Surgical Procedures and Hyperbaric Oxygen Treatment

Molecular Pathology

Retrospective reviews for:

Inpatient Length of Stay

Emergency Room

Extension of Benefits

Hospital Acquired Conditions

Acute Crisis Unit

Use AFMC ReviewPoint - a clinical review platform

Maintain reliable internet with speeds of 2Mbps uploaded to maintain call quality and process integrity. +15Mbps download generally allows more fluid access to data and systems while lower speeds will result in increased lag time. Please note there is nothing AFMC team can do to improve your home internet access. To test your speed, go to

Additional duties, as agreed upon.

Job Requirements

Credentialing Qualifications:

Active, unrestricted license to practice medicine in Arkansas

Board-certified

Minimum of five (5) years full-time equivalent direct patient care experience

Direct patient care experience within the previous three (3) years

Maintain current liability and malpractice insurance coverage for non-UR clinical activities

Located in a state or territory of the United States when conducting appeal considerations

Internet Requirements:

Reliable, high-speed wireless internet service (Wi-Fi)

Equal Opportunity Employer/Veterans/Disabled EEO IS THE LAW

AFMC, Inc. is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability or any other status protected by federal, state and/or local law. AFMC invites any employee and/or applicant to review the Company's Affirmative Action Plan. This plan is available for inspection upon request, which may be made in person or by telephone View phone number on click.appcast.io, by fax View phone number on click.appcast.io or by U.S. mail Attn: Human Resources, 1020 West 4th Street, Suite 400, Little Rock, AR 72201.