Appeals Medical Doctor

Penda Aiken, Inc.; New York (NY); On-site; USD 100,000 - 125,000; Full time

Job summary

A leading company is seeking an Appeals Medical Doctor to provide expertise in reviewing eligibility applications for a medical transportation department. This long-term, temporary position requires a valid NY medical license and strong communication skills. The role involves assisting with appeals and ensuring compliance with regulations.

Benefits

Healthcare

Dental

401(k)

Paid Time Off

Qualifications

• 1-3 years of medical practice or equivalent experience.
• Experience in medical records review and appeals procedures.

Responsibilities

• Provide medical expertise for eligibility appeals.
• Assist with conducting eligibility appeals via various methods.
• Ensure compliance with departmental policies.

Skills

Communication

Computer Literacy

Education

MD or DO degree

Job description

Title: Appeals Medical Doctor

Position Type: Long-term, temporary (1+ years)

Location: Long Island City, NY

Hours: 3 days per week

Salary: $150 per hour

Work Authorization: Must be authorized to work in the U.S. without sponsorship.

Job Description

Our client, an NYS agency focused on transportation services, is seeking an Appeals Medical Doctor for its private medical transportation department. The medical doctor will provide medical expertise and support in reviewing appellants’ applications and eligibility documentation, including:

• Assist the Eligibility Appeals Director with conducting eligibility appeals via telephone, video conferencing, written documentation, or in-person meetings.
• Assist Board members with responding to questions, concerns, and complaints regarding eligibility appeals from appellants.
• Ensure compliance with departmental policies, procedures, and objectives.
• Understand and adhere to ADA regulations applicable to eligibility appeals.
• Participate in all eligibility appeal hearings, whether in person, via documentation review, or teleconferencing. Schedules will be provided in advance.
• Attend relevant meetings or conference calls related to appeal hearings as required.

Qualifications

• Graduate from an accredited Medical school with MD or DO degree, including osteopathic medicine with a holistic health approach.
• Valid medical license in the State of New York.
• 1-3 years of medical practice or equivalent experience.
• Experience in medical records review and appeals procedures.
• Excellent communication skills—written, telephone, and face-to-face.
• Professional demeanor and interactions.
• Computer literacy.
• Availability to work 3 days per week: Tuesday, Wednesday, and Thursday, 7-8 hours per day, with hearings starting at 9 AM.
• Consistent attendance and adherence to the assigned monthly schedule.

For immediate consideration, please submit your resume today!

#IND

About Penda Aiken, Inc.

For over thirty years, Penda Aiken, Inc. has dedicated itself to serving New York State, establishing itself as a leading talent acquisition firm in the Northeast. Our team of industry experts works closely with top-tier companies and exceptional candidates, providing personalized guidance to achieve optimal results.

Partnering with Penda Aiken Inc. offers access to competitive compensation, comprehensive benefits—including healthcare, dental, a 401(k), and paid time off—delivered with personalized service.

Penda Aiken, Inc. is an Equal Opportunity Employer committed to fostering a respectful environment where all applicants have equal employment opportunities regardless of race, color, religion, sex, pregnancy, national origin, age, disability, marital status, sexual orientation, gender identity, gender expression, genetic information, military or veteran status, or any other legally protected characteristic.

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