Claims Review Physician - Psychiatry (56661) - Remote Employees Remote Employees, Virginia, United States
2 days ago
Job description
DescriptionAbout Capitol Bridge
Founded in 2012, Capitol Bridge is based in Arlington, Virginia and has proven expertise providing independent medical reviews, records/data management services, medical coding, administrative staffing and eligibility reviews.
Capitol Bridge is actively seeking an experienced 1099 Claims Review Psychiatrist. The Claims Review Position will play a crucial role in the fair and efficient resolution of claim disputes.
You will be responsible for resolving claim disputes submitted by various parties such as physicians, hospitals, institutions, pharmacies, and other licensed healthcare providers.
Your role requires conducting all job duties efficiently, promptly, productively, consistently, and courteously, while maintaining a high level of professionalism.
Salary Range:
Approximately $250 per case depending on case requirements.
Key Responsibilities:
Conduct impartial assessment of documentation from both initiating and responding parties.
Review medical documentation to make a determination of the medical necessity or appropriateness of each service/procedure listed in a dispute.
Utilize governmental and professional guidelines to support the determination on medical necessity or appropriateness of each service/procedure listed in a dispute.
Maintain effective communication.
Ensure timely completion of reviews within assigned deadlines.
Follow established QA/QC processes and meet company/departmental standards.
Uphold scheduling commitments and privacy regulations.
Perform other related duties as directed by leadership.
Required Qualifications:
Licensed in required Specialty.
Five years full-time equivalent experience providing direct clinical care to patients
Experience providing direct clinical care to patients within the past three years
Hold a non-restricted license in any state in the US and for physicians, a current certification by a recognized American medical specialty board in the area or areas appropriate to the condition or treatment under review
Preferred Qualifications:
Familiarization with claims
Knowledge of claim review processes
Familiarization with navigating electronic documents like PDFs, Microsoft Excel, Microsoft Word and experience using Microsoft Outlook.
Exceptional skills in managing sensitive and confidential information.
Strong organizational abilities, written, and verbal communication skills in English.
Ability to work both independently and collaboratively.
Skilled in prioritizing tasks to align with business needs and assignments.
Required Screenings
You will receive a request for a background check regarding this employment opportunity. Employment is contingent on successful passing of a background check.
Reasonable Accommodation
If you require alternative methods of application or screening, you must approach the employer directly to request this. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform essential functions. Other duties may be assigned.
EEO Statement
Capitol Bridge LLC. is an Equal Opportunity Employer.
All employment decisions at Capitol Bridge are based on business needs, job requirements, and individual qualifications, without regard to race, color, religion or belief, national, social, or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status protected by the laws or regulations in the locations where we operate.
Texting NoticeWe communicate with applicants by text in addition to email and phone.
If you apply for this position, we may text you about this position, your application for the position, or other things relevant to this job position.
If we text you and you no longer want us to text you, you can opt-out at that time.Qualifications
Hold a current Medical License
Five years full-time equivalent experience providing direct clinical care to patients
Experience providing direct clinical care to patients within the past three years
Hold a non-restricted license in any state in the US and for physicians, a current certification by a recognized American medical specialty board in the area or areas appropriate to the condition or treatment under review
Similar jobs
We are seeking a dedicated Psychiatry Physician in Schenectady, NY to provide comprehensive mental health care. Assess patients with various psychiatric conditions and develop individualized treatment plans. · Strong communication · Empathy · Clinical expertise · ...
1 month ago
We are seeking a dedicated Psychiatry Physician to provide comprehensive mental health services in · Schenectady. We offer competitive salary and benefits. · Conduct psychiatric evaluations and develop individualized treatment plans · Provide medication management and therapy se ...
1 month ago
Not-for-Profit Community hospital in New York s Capital District is seeking a full-time BC/BE Child & Adolescent Psychiatrist for a mix of inpatient and outpatient work. The position is hospital employed and offers an excellent salary, full benefits, relocation assistance, paid t ...
13 hours ago
A Child & Adolescent Psychiatrist is sought for full-time BC/BE mix of inpatient and outpatient work at a Not-for-Profit Community hospital. · ...
2 days ago
We are seeking a dedicated psychiatrist to provide comprehensive mental health care in Albany. · Assess and diagnose patients with mental health conditions · Develop and implement personalized treatment plans · ...
1 month ago
Job summary · A dedicated Psychiatry Physician is sought in Albany, NY to provide comprehensive mental health care. · ...
1 week ago
Seeking a dedicated Psychiatry Physician in Troy, NY to provide comprehensive mental health care. · Conduct psychiatric assessments, diagnose mental health conditions, · and develop treatment plans.Prescribe and monitor medications, · Coordinate with multidisciplinary teams. · ...
1 month ago
We are seeking a compassionate Psychiatry Physician to join our team in Troy New York Provide comprehensive psychiatric evaluations diagnosis and treatment plans for diverse patient populations Manage medication and therapy options tailored to individual needs Collaborate with mu ...
1 month ago
Seeking a dedicated Psychiatry Physician in Albany, NY to provide exceptional mental health care. · ...
1 month ago
+Job summary · Seeking dedicated Psychiatry Physician in Gloversville, NY. · +Conduct psychiatric evaluations. · Diagnose mental health disorders. · ...
1 month ago
This position includes inpatient Rehab, outpatient and consultation liaison psychiatry. Two years experience with addiction services and populations preferred.The greater Albany area offers a premier living environment... · ...
2 days ago
CompHealth exists to make the locums process easier. Not only will we search for jobs that fit your interests, we'll be here to handle all the details like credentialing, housing, travel arrangements, and so much more. So, relax and get back to helping patients, and let us do the ...
22 hours ago
We have multiple locum tenens psychiatry opportunities available in Troy. You will work Monday through Friday from 8 am - 4:30 pm. Every fourth weekend you will take call which includes patients per provider · 30-bed inpatient psychiatry unit General adult inpatient psychiatry Cr ...
3 weeks ago
Join a hospital-employed Adult Psychiatry team in New York's upper Hudson Valley. · Work across outpatient, inpatient, consult, and ED settings. · ...
2 days ago
We are seeking a Locum Inpatient Psychiatrist to provide high-quality care on an adult behavioral health unit. · A weekday-focused role with a balanced patient load, strong multidisciplinary support, and a secure hospital environment. · Ideal for providers looking for a stable in ...
2 days ago
We negotiate better pay and deposit it weekly · We arrange complimentary housing and travel · We simplify the credentialing and privileging process ...
3 weeks ago
A not-for-profit hospital near New York s Capital District is seeking a BC/BE Child/Adolescent Psychiatrist. · ...
2 days ago
This is a part time role in a small inpatient facility. The position would be partially inpatient work and partially telepsych work with the day treatment program. · Assist patients while working on the inpatient unity · ...
2 days ago
Physician / Psychiatry / New York / Permanent / Physician - Psychiatry in New York Job
VISTA Staffing Solutions
Job Overview · This prestigious medical system seeks a consultative psychiatrist for their established multidisciplinary team. · ...
1 week ago
Physician / Psychiatry / New York / Locum tenens / 300/hr Inpatient Psychiatry in Albany, NY. Job
WhiteCoat Locums
A hospital in New York is seeking Board Certified Psychiatrists for full-time locum tenens coverage on its Adult Inpatient Behavioral Health Unit. · Coverage is needed for two open positions, with an ASAP start once credentialed. · ...
2 days ago