Physician Reviewer: Physical Medicine & Rehabilitation - Remote

Overview

This telework opportunity provides the ability to customize your schedule and caseload within the week while maintaining client-mandated turnaround times. The Physician Reviewer will utilize clinical expertise to review insurance appeals and claims.

In Short

• Telework opportunity with customizable schedule
• Compensation on a per-case basis as a 1099 independent contractor
• Review medical records and address client questions
• Ensure clear and concise rationale for determinations
• Utilize current criteria and resources for decision-making
• Provide timely reports with supporting documentation
• Maintain proper credentialing and licenses
• Attend required orientation and training
• Respond to quality assurance issues and regulatory matters
• Perform other assigned duties as needed

Requirements

• Clinical expertise in healthcare
• Experience with insurance appeals and claims
• Ability to interpret medical necessity
• Strong documentation skills
• Maintaining state licenses and certifications
• Effective communication skills
• Attention to detail
• Ability to meet deadlines
• Familiarity with evidence-based guidelines
• Commitment to quality assurance

Benefits

• Flexible work schedule
• Work from home
• Independent contractor status
• Opportunity to work with various healthcare professionals
• Potential for diverse casework