Physician Reviewer - Telecommute - Remote

Overview

This telework opportunity allows you 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.
• Reviews all medical records and addresses client questions.
• Ensures clear and concise rationale for determinations.
• Identifies and utilizes current criteria and resources for decision-making.
• Maintains proper credentialing and state licenses.
• Attends required orientation and training.
• Performs other duties as assigned, including quality assurance issues.

Requirements

• Candidates must hold an active Minnesota license.
• Experience in reviewing medical records.
• Knowledge of nationally recognized evidence-based guidelines.
• Ability to provide timely reports and documentation.
• Strong communication skills for client interactions.

Benefits

• Flexible schedule and caseload.
• Compensation on a per-case basis.
• Work from home opportunity.