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Explore 77 Remote Medical Necessity Jobs

Baba

Virtual Physician - Remote (MD/DO) 1099

Baba

3 weeks ago

Join Baba as a Virtual Physician to conduct telehealth visits and support older adults in navigating their healthcare needs.

USA
Contract
All others
Commence logo

Physician Peer Reviewer - Remote

Commence

5 weeks ago

Join Commence as a Physician Peer Reviewer, conducting remote case reviews to ensure quality care for military members and their families.

Worldwide
Contract
All others
$100 - $450/case
Commence logo

Alternative/Holistic Psychiatrist for Peer Review Work - Remote

Commence

6 weeks ago

Join Commence as an Alternative/Holistic psychiatrist for remote peer review work, ensuring quality care for military families.

Worldwide
Contract
All others
$750/case
AdaptHealth logo

Document Review Specialist - Remote

AdaptHealth

12 weeks ago

The Document Review Specialist ensures compliance in delivery documentation and manages patient eligibility for billing.

Worldwide
Full-time
All others

B.V

Remote RN – Medical Claims Reviewer

Broadway Ventures

12 weeks ago

Join Broadway Ventures as a Remote RN to conduct medical claims reviews ensuring compliance and appropriateness of coverage.

USA
Full-time
All others
65000USD/year

L.H.M.C

Utilization Management Specialist - Remote

Logan Health Medical Center

19 weeks ago

Join Logan Health as a fully remote Utilization Management Specialist, leveraging your clinical expertise to enhance patient outcomes and resource management.

USA
Full-time
All others
CRD Careers (Independent Recruiters) logo

Senior Clinical Coding Auditor & Trainer - Remote

CRD Careers (Independent Recruiters)

22 weeks ago

Join a national managed care organization as a Senior Clinical Coding Auditor & Trainer, focusing on improving coding accuracy and compliance.

USA
Full-time
All others
Wellpartner logo

Health Services Professional - Remote

Wellpartner

23 weeks ago

The Health Services Professional develops clinical policies and supports inquiries regarding medical necessity at CVS Health.

USA
Full-time
All others
$95,738.00 - $206,206.00/year

C.R

Appeals Pharmacist - Remote

Capital Rx

23 weeks ago

The Appeals Pharmacist is responsible for reviewing clinical coverage determinations and appeals to ensure quality decision-making.

Worldwide
Full-time
All others
$120,000 - $130,000 USD/year

B.V

Remote Registered Nurse – Medical Claims Reviewer

Broadway Ventures

32 weeks ago

Join Broadway Ventures as a Remote Registered Nurse to conduct medical claims reviews ensuring compliance and reimbursement eligibility.

USA
Full-time
All others
Dane Street logo

Physician Reviewer - Hematology/Medical Oncology (Stem Cell Transplant) - Remote

Dane Street

36 weeks ago

This role involves reviewing insurance appeals and claims in Hematology/Medical Oncology as a telework independent contractor.

USA
Contract
All others
EvergreenHealth logo

Clinical Appeals Specialist RN - Revenue Integrity - Remote

EvergreenHealth

40 weeks ago

The Clinical Appeals Specialist RN is responsible for reviewing and appealing clinical claim denials and audit determinations in a healthcare setting.

WA, USA
Full-time
All others
Cobalt Benefits Group logo

Healthcare Utilization Specialist - Remote

Cobalt Benefits Group

40 weeks ago

The Healthcare Utilization Specialist ensures clients receive the right care through effective claims processing and collaboration within the team.

USA
Full-time
All others
22.00 - 24.00/hour
Dane Street logo

Diagnostic Radiology Medical Record Reviewer - Remote

Dane Street

42 weeks ago

The Physician Reviewer will utilize clinical expertise to review medical records and determine medical necessity for Independent Medical Exams.

MN, USA
Contract
All others
Northwestern Memorial Healthcare logo

Order Management Unit RN - Full-time - Remote

Northwestern Memorial Healthcare

43 weeks ago

Join Northwestern Medicine as a full-time RN in the Orders Management Unit, focusing on outpatient order management and compliance.

IL, USA
Full-time
All others