Board-Certified Behavioral Health Physician

Konsus, Inc. (Superside); United States; Remote; USD 180,000 - 250,000; Full time

Job summary

A leading healthcare company is seeking a Remote Behavioral Health Physician Reviewer to assess medical records and make service authorization decisions. This role requires a Board Certified MD or DO with significant clinical experience, recent patient care involvement, and technical proficiency across systems. Join a dynamic team focused on adhering to clinical guidelines and regulatory compliance.

Qualifications

• Board Certified in General Psychiatry and either Child & Adolescent Psychiatry or Addiction Medicine.
• 5+ years of clinical experience, including residency.
• Recent direct patient care experience within the last 6 months.

Responsibilities

• Review medical records and determine service authorization based on clinical guidelines.
• Conduct peer-to-peer calls with providers to gather additional clinical information.
• Collaborate with internal teams adhering to URAC standards.

Skills

Clinical experience

Medical record review

Communication

Collaboration

Computer skills

Education

MD or DO

Job description

A company is looking for a Remote Behavioral Health Physician Reviewer.

Key Responsibilities

• Review medical records and determine service authorization based on clinical guidelines and health plan criteria
• Conduct peer-to-peer calls with providers to gather additional clinical information
• Collaborate with internal teams and adhere to URAC standards and regulatory compliance

Required Qualifications

• MD or DO, Board Certified in General Psychiatry and either Child & Adolescent Psychiatry or Addiction Medicine
• 5+ years of clinical experience, including residency
• Recent direct patient care experience within the last 6 months
• Clean medical license and background from any U.S. state
• Above-average computer skills and comfort with multiple systems