Provides timely peer-to-peer discussions with referring physicians to clarify clinical information and to explain review outcome decisions. ...
Color is a health technology company that makes population-scale healthcare programs accessible, convenient, and cost-effective for everyone.We work with employers, labor unions, national health initiatives, governments, and public health institutions to provide the tools for preventive health and d...
Provides timely peer-to-peer discussions with referring physicians to clarify clinical information and to explain review outcome decisions. ...
Included Health is seeking a highly motivated physician who enjoys management of all health conditions and who is passionate about raising the standard of healthcare for everyone. The Physician will be responsible for caring for patients of all ages, maintaining accurate and current patient records,...
Provides timely peer-to-peer discussions with referring physicians to clarify clinical information and to explain review outcome decisions. ...
Nurse practitioners work alongside physicians delivering care in the patient’s home. Our team collaborates with the patients’ primary care physicians (PCPs), and our visits serve as an adjunct to the care delivered by the PCP. We are currently seeking additional supervising physicians to join our gr...
CVSHealth is seeking a Physician, board certified in Family Medicine to join our National Virtual Primary Care Practice. Active license as a Practicing Physician in good standing in at least one of the following states: Washington, Oregon, California, Idaho, Nevada, Arizona, Utah, Montana, Wyoming, ...
Dane Street is expanding our physician panel! This is a telework opportunity for supplemental income for physicians providing a caseload customized to your schedule. Our physician panel is comprised of independent contract reviewers (1099) compensated on a per-case basis. As Physician Reviewer...
This includes performing claims investigation, evaluation, negotiation, settlement; retaining and coordinating work of defense attorneys and expert witnesses; representing Physicians Insurance Member Services and Physicians Insurance clients; and maintaining claims-related relationships with physici...
Hospital department or medical group leadership experience in roles that focus on department operations, ambulatory operations, physician compensation, value-based care, patient access to care, or physician integration, OR. Joining the Huron team means you’ll help our clients evolve and adapt to the...
Dane Street is expanding our physician panel! This is a telework opportunity for supplemental income for physicians providing a caseload customized to your schedule. Our physician panel is comprised of independent contract reviewers (1099) compensated on a per-case basis. As Physician Reviewer...
We’re looking for a Remote Physician to join our provider network. Physicians must have an active DEA license. Physicians who value flexibility and autonomy—we only require a minimum of 6–10 hours of availability per week (ideally between 8 pm - 3 pm on weekdays, but it’s not a core requirement). Ph...
Dane Street is expanding our physician panel! This is a telework opportunity for supplemental income for physicians providing a caseload customized to your schedule. Our physician panel is comprised of independent contract reviewers (1099) compensated on a per-case basis. As Physician Reviewer...
The primary purpose of the REP, PHYS SVC REFUNDS is to review all credit balances that are created on a patient’s account to determine whether the credit is a true refund, or the appropriate actions needed to remove the credit from the patient’s account within timely manner from identification and i...
We are looking for physicians who have expertise in radiology and diagnostic imaging to deliver on Coheres program by determining the medical appropriateness of services by reviewing clinical information and applying evidence-based guidelines. Provide expert input on content for influencing physicia...
The primary purpose of the SPEC, PHYS SVC CODING II, is to code physician charges in multiple specialties for both EM and Surgical encounters by assigning ICD-9, CPT-4 & HCPC codes from medical record documentation. ...
Baptist Health South Florida is the region’s largest not-for-profit healthcare organization with 12 hospitals, more than 27,000 employees, 4,000 physicians, and 200 outpatient centers, urgent care facilities, and physician practices spanning across Miami-Dade, Monroe, Broward, and Palm Beach countie...
Judge Healthcare is seeking a Physician for a REMOTE Physician Reviewer with one of our biggest clients!. Summary: Our Physicians utilize their clinical knowledge to provide an evidence-based approach to reviews, adjudicating requests for commercial and Medicare D medications. Conducting peer review...
DO - Physician, State Licensure and Board Certified (ABMS or Specialty Board) - Physician - Physician, MBBS - Bachelor of Medicine, Bachelor of Surgery - Physician - Physician, MD - Physician, State Licensure and Board Certified (ABMS or Specialty Board) - Physician - Physician. Discusses determinat...
The primary purpose of the REP, PHYS SVC AR III team is to pursue reimbursement of services rendered and achieve accounts receivable resolution.This team works through open accounts receivables (denials and delinquent accounts) by actively calling payer organizations or utilizing web-based connectiv...
The Contract Physician Recruiter is responsible for recruiting qualified physicians across various specialties to meet the staffing needs of the organization. The ideal candidate has strong communication skills, a deep understanding of the UM and digital health industry, and a talent for relationshi...
Color’s physician-led, multidisciplinary team practices evidence-based medicine to help patients through every phase of their cancer screening, diagnosis, treatment and survivorship journeys. ...
Baptist Health South Florida is the region’s largest not-for-profit healthcare organization with 12 hospitals, more than 27,000 employees, 4,000 physicians, and 200 outpatient centers, urgent care facilities, and physician practices spanning across Miami-Dade, Monroe, Broward, and Palm Beach countie...
The Physician Clinical Reviewer will also be responsible to place queries, when appropriate, following AHIMA guidelines and CorroHealth policies to get diagnosis/procedure clarification and validity as it pertains to code assignment, code sequencing, severity of illness (SOI), risk of mortality (ROM...
We are seeking a dedicated and experienced Palliative Care Physician who is committed to improving the quality of life for cancer patients, providing compassionate care, and contributing to the continuous enhancement and oversight of our Cancer Center specialty program. Medical Qualifications: Physi...