beBeeMedicalReviewer Jobs in United States

The Medical Review Manager will oversee the review of promotional materials to ensure statements are scientifically valid and accurate, truthful and not misleading. · This role involves ensuring that all scientific information presented is thorough, precise and transparent. As a ...

Job Overview for Medical Record Reviewer · This role involves the performance of clinical and clerical tasks, maintenance of records, and application of medical knowledge to manage a functional office environment. · Conduct interviews with patients to obtain medical history. · De ...

Physician Reviewer Role · We are seeking a highly skilled Physician Reviewer to join our team. As a Physician Reviewer, you will utilize your clinical expertise to review insurance appeals and claims. · About the Role · This is a challenging and rewarding role that requires stron ...

Medical Claim Review Role · Molina Healthcare seeks a skilled medical claim reviewer with expertise in appeals, claims review, and medical coding. The successful candidate will conduct comprehensive reviews to ensure accurate payment to providers. · Perform thorough medical revie ...

About This Opportunity: · Expert medical reviews for requests related to medical necessity · Evaluate services based on utilization review criteria · Located in a state or territory within the United States · What You'll Need: · Timely and expert medical review skills · Able to w ...

Physician Reviewers/Advisors provide clinical expertise to review insurance appeals, claims and medical necessity of services. They ensure reviews are compliant with client policies, nationally recognized guidelines and standards of care. · 'MAJOR DUTIES AND RESPONSIBILITIES: · ...

Job Summary: We are seeking a medical professional to evaluate the necessity of services that do not meet utilization review criteria in the United States. · ...

Job Opportunity · A medical review professional is required to evaluate medical claims and ensure appropriate reimbursement. · Conduct thorough clinical reviews of retrospective medical claim reviews, claims, and previously denied cases · Identify and document quality of care iss ...

Medical Reviewer Position · We partner with skilled physicians to deliver high-quality, evidence-based clinical decisions that support better health outcomes. · This collaborative effort involves reviewing medical records to assess the medical necessity of services and providing ...

Reviews all medical records and addresses each question posed by the client utilizing client specific criteria or other nationally recognized evidence-based criteria · ...

Medical Record Reviewer Job Description · This position entails the review of medical records, verification of information, and maintenance of accurate documentation. · Review patient medical history to identify discrepancies. · Verify patient information against medical records. ...

Medical Reviewer Role · We are seeking a skilled Medical Reviewer to evaluate medical records and determine medical necessity. · You will assess medical information using established protocol sets and clinical guidelines. · You will provide support and review of medical claims an ...

Job Opportunity · Dane Street offers a unique collaboration between experienced physicians and healthcare professionals. · This strategic partnership aims to ensure high-quality, evidence-based clinical decisions that drive better outcomes across the healthcare system. · Review m ...

Clinical Advisor Position · This is an exciting opportunity for a Clinical Advisor to work with us in reviewing insurance claims and appeals. As a Clinical Advisor, you will use your clinical knowledge to ensure that all reviews are conducted in compliance with client specific po ...

As a Medical Reviewer, you will be responsible for evaluating medical records and providing professional opinions on an individual's functionality and restrictions or limitations related to disability benefits. · Our physician panel is comprised of independent contract reviewers ...

Medical Reviewer II Job Description · We are seeking a skilled Medical Reviewer II to join our team. As a Medical Reviewer II, you will perform medical reviews using clinical/medical information provided by physicians/providers and established criteria/protocol sets or clinical g ...

Medical Claims Examiner Position · We are looking for a detail-oriented Medical Claims Examiner to work with medical records and make informed decisions. · You will analyze medical data using established criteria and document findings accordingly. · You will collaborate with othe ...