Orthopedic Surgery - Spine Surgeon - NV - Remote

Overview

This telework opportunity provides the ability to customize your schedule and caseload within the week while maintaining client-mandated turnaround times. Our reviewers are compensated on a per-case basis as a 1099 independent contractor.

In Short

• Utilizes clinical expertise to review insurance appeals and claims.
• Provides interpretation of medical necessity of services.
• Ensures clear and concise rationale for determinations.
• Identifies and critiques current criteria and resources.
• Maintains proper credentialing and state licenses.
• Attends required orientation and training.
• Returns cases on or before the due date.
• Makes mandated telephone calls.
• Performs other duties as assigned.
• Compensated on a per-case basis.

Requirements

• Preferred candidates will hold a NV License.
• Ability to work independently and manage time effectively.
• Strong understanding of medical necessity and healthcare guidelines.
• Excellent communication skills.
• Attention to detail and quality assurance.
• Ability to interpret complex medical information.
• Experience in reviewing medical records.
• Familiarity with evidence-based guidelines.
• Ability to handle sensitive information confidentially.
• Willingness to comply with client-specific policies.

Benefits

• Flexible schedule and caseload.
• Work from home opportunity.
• Independent contractor status.
• Opportunity to utilize clinical expertise.
• Potential for varied case types.
• Supportive work environment.
• Access to professional development resources.
• Networking opportunities within the healthcare field.
• Ability to contribute to quality assurance in healthcare.
• Competitive compensation based on case reviews.