Physician insurance reviewer jobs


Applying clinical expertise and experience to deliver high-quality care for our members. Ensuring the highest quality of care at the lowest possible cost for members. Improving how patient care works, ensuring effective use of health care resources and developing creative ways to keep costs low. Building and strengthening relationships with our members and providers. Making prescription drugs more affordable and ensuring their appropriate use.


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WATCH RELATED VIDEO: From PT To Working From Home As A Utilization Reviewer

Vhi Recruitment


Displayed here are Job Ads that match your query. SimplyHired may be compensated by these employers, helping keep SimplyHired free for jobseekers. SimplyHired ranks Job Ads based on a combination of employer bids and relevance, such as your search terms and other activity on SimplyHired. For more information, see the SimplyHired Privacy Policy. The Clinical Reviewer II is responsible for the proper clinical review and interpretation of medical records to assist with the appeals of denied insurance and….

Working with peers in collaboration of clinical writing situations. Three to five years of experience in clinical medical record audits or coding required. Health insurance coverage for you and dependents.

Coordinates and compiles the investigative summary report for the BI Analyst, upon completion of the records review, summarizing claims determinations and…. Communicate effectively and professionally with care provider offices, clinics, hospitals, other clinical facilities.

Familiar with medical insurance terminology and processes. Explain insurance coverage to patients during the admission process and answer related questions. The QA Specialist is responsible for the timely completion and overall completeness…. Use Facebook or Google to sign in or register with SimplyHired. Continue with Facebook Continue with Google. Job Title, Skills or Company.

List View. Date Added Anytime 24 hours 7 days 14 days 30 days. Sort by Relevance Date. Apply Filters. Clinical Reviewer II. RSource - Remote. Senior Clinical Reviewer. Centene Corporation - Arizona 3. Medical Reviewer. Medical Records and Pharmacy Analyst. Intake Specialist. Prior History Claims Reviewer. Clinical Coding Reviewer.

Quality Analyst, Disability Insurance.



Is utilization review the career for you?

AFC Urgent Care is looking for doctors who passionately care for patients and enjoy the practice of medicine. We offer doctors the chance to focus on patient care without the administrative burden and expensive cost of running a practice while enjoying uninterrupted time away from work. We are open 8am-6pm Monday through Friday and 8am-4pm on weekends on weekends. We offer providers the chance to focus on patient care. Issues such as office systems, billing responsibilities, collections, and bill paying are all handled for the provider.

Medical reviewers examine medical documents for accuracy, such as looking at patient records and insurance paperwork.

Remote Physician Medical Reviewer Jobs

Skip to main navigation Skip to main content Skip to footer. Doing something meaningful starts with a simple decision, a commitment to changing lives. We are a human organization, where people come first. Whether you work in customer service, nursing, tech or any other area throughout our organization, we all have a hand making the world a healthier place. See our teams. Our teams Dedicated. Discover our domestic and global teams to learn how you can make an impact, together. Discover our teams. Students and graduates This is the place where you can make a career, make a difference and make friends at the same time. Begin making a difference.


Physician advisor/physician reviewer

physician insurance reviewer jobs

You are being redirected to the UnitedHealth Group careers website to see current career opportunities. We have all the basics covered, like medical, dental, vision and life insurance. And we go above and beyond in many areas. We bring in talented, caring people with passion for helping seniors live more fulfilling lives.

COVID Resources for Candidates In these times of uncertainty, eviCore would like candidates to know that we will continue to support them in finding their next career opportunity.

Physician Reviewer

Many physicians who choose to work at home do so for personal life-balance reasons and work in part-time positions. For those looking for a full-time, nonclinical physician job that can be telecommuted, your best bet is probably to contact a healthcare recruiter. In addition to the companies below, if you are an MD or have a Ph. This major insurance company hires nurses and physicians to work from home. Search its jobs database with keyword "telework.


Presbyterian

For more than thirty years MCMC has offered a variety of independent clinical review. Take 30 seconds to share your demographic info so … Philip W. Find contact's direct phone number, email address, work history, and more. Initially it was just to double-checkto see whether that person was qualified for the benefits. The Ohio Bureau of Workers' Compensation provides a wide variety of publications for medical providers who treat Ohio injured workers. Easily apply. Akron, Ohio.

Get ready to help solve the most complex challenges in the health care system. Find a job or career in a culture that's inspired every day to connect the.

Everyone who works at One Medical has a special and valuable role in helping the patient get or stay healthy. We know we don't know everything. We're always eager to learn, and we're never afraid to question the status quo.


You can diversify your revenue base through disability and file review consulting. The work involved is low stress, low risk, can be done from home with zero overhead , and almost never involves having to testify. How large is the demand for file reviews? Enormous and growing. Physicians are needed to perform millions of file reviews per year. The ACA is adding millions of people to the insurance rolls, further driving demand.

Today MRIoA is an industry leader in providing external review resources for over clients nationwide.

Licensed health care providers face myriad rules and regulations that are unfamiliar to most transactional attorneys. Pattern can help! A good contract with an employed or contracted physician may help you avoid regulatory violations and future disputes. Free Consultation. In need of someone to help them make medical, financial, or daily living decisions, but who have no suitable person to serve as their guardian. Physician Agreements Health Law has 5 stars! Voice your opinion today and hear what 42 customers have already said.

You determine the amount of time you want to spend on reviews — contact us to discuss remuneration. We offer fair compensation — and value your participation. As a virtual desktop, VDI mimics an actual computer desktop via a safe, secure web page, providing increased security for protected health information PHI. You can quickly request a reconsideration or monitor the real-time status of cases.


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