- Provider has an clear active license in any state
- Provider must be board certified
- Minimum of 5 years of experience within specialty
- Currently conduct Direct Patient Care at least 24 hours/week
State Appeals Medical Expert Need - McLean, United States - Maximus Federal
Description
Good Afternoon, We have a need within our State Appeals project for a Medical Expert (ME) with Maximus Federal. As an ME you would be conducting Medical Judgement Appeal reviews remotely, which you would provide a written review addressing the dispute either agreeing to uphold the insurance company's decision or deciding in favor of the consumer by overturning all or part of the health plans decision.
The average review takes approximately 1-2 hours and due within approximately 7 calendar days, expedited reviews (life threatening) are due within 24 hours. You have the ability to accept or decline cases based on your availability.
Requirements:
The fees for State Appeals East work are as follows:
Medical Expert Services
Description
Price Per Case
Standard Case
$125.00
Expedited Case
$175.00
Extra compensation is provided on a per case basis if complicated/complex.
If you have questions or need assistance, email us your preferred contact method and best day/time to contact you. Also, please forward me your CV for upload and review.