Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise and reviews insurance appeals..., and prospective and retrospective claims. The Physician Reviewer will provide an interpretation of the medical necessity of services...
/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise and reviews insurance appeals... in Otolaryngology Medicine. **Office location MUST be within 50 miles of Jamestown, NY** Requirements: As a Physician Reviewer...
for Independent Medical Exams (IME), you will utilize clinical expertise and reviews insurance appeals, and prospective... Medicine. **Office location MUST be within 50 miles of Jamestown, NY** Requirements As a Physician Reviewer/Advisor...
Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise and reviews insurance appeals..., and prospective and retrospective claims. The Physician Reviewer will provide an interpretation of the medical necessity of services...
for Independent Medical Exams (IME), you will utilize clinical expertise and reviews insurance appeals, and prospective.... **Office location must be withing 30 miles of Grand Rapids, MI** Requirements JOB SUMMARY As Physician Reviewer/Advisor...
appeals and applicable clinical records to physician advisors; and analyzes high medical cost claimants and prepares..., wellness/disease management, product development efforts. Prepares and presents thorough clinical record reviews to first...
. Provides clinical rational for standard and expedited appeals. Participate in peer-to-peer review with payors and/or complete... appeals as required to overturn denials. Provides assistance to initial clinical reviewers as needed to discuss cases...
reviews medical record for clinical denials. Composes a detailed summary of care and sends appeals to MCO, Medicare, or RAC... of denial activity and appeal results. Maintains the Status Change Database. Performs retrospective clinical reviews/appeals...
activities to include peer review, utilization review, fair hearings and appeals, and other clinical consultations related to the...Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise...
regulatory timeframe of the request and provides clinical rationale for standard and expedited appeals. Utilizes medical...-clinical environment. You can enjoy better work- life balance on a team that values collaboration and continuous learning...
), you will utilize clinical expertise and reviews insurance appeals, and prospective and retrospective claims. The Physician Reviewer... in Family Practice. Requirements: JOB SUMMARY As Physician Reviewer/Advisor for Independent Medical Exams (IME...
clinical expertise and reviews insurance appeals, and prospective and retrospective claims. The Physician Reviewer will provide... Practice. Requirements JOB SUMMARY As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize...
reviews to be completed by the subject matter expert. Provides clinical rationale for standard and expedited appeals... utilization management team. We can offer you a meaningful way to make a difference in patients lives, in a non-clinical...
: JOB SUMMARY As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise and reviews... insurance appeals, and prospective and retrospective claims. The Physician Reviewer will provide an interpretation of the...
Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise and review insurance appeals, as well... as prospective and retrospective claims. The Physician Reviewer will provide interpretations of the medical necessity of services...
As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise and reviews insurance... appeals, and prospective and retrospective claims. The Physician Reviewer will provide an interpretation of the medical...
Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise and review insurance appeals, as well... as prospective and retrospective claims. The Physician Reviewer will provide interpretations of the medical necessity of services...
Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise and reviews insurance appeals..., and prospective and retrospective claims. The Physician Reviewer will provide an interpretation of the medical necessity of services...
for Independent Medical Exams (IME), you will utilize clinical expertise and reviews insurance appeals, and prospective... Medicine. **Office location MUST be within 45 miles of Wintersville, Ohio** Requirements As a Physician Reviewer/Advisor...
: As a Physician Reviewer/Advisor for Independent Medical Exams (IME)/Record Reviews(RR), you will utilize clinical expertise... and reviews insurance appeals, and prospective and retrospective claims. The Physician Reviewer will provide an interpretation...