General Surgeon - Utilization Review - Remote (1099 Independent Contractor)

Santa Barbara Cottage Hospital; United States; Remote; USD 100,000 - 140,000; Full time

Job summary

An innovative organization is seeking a skilled medical professional to review treatment authorizations. This role offers the flexibility to work remotely from anywhere in the US, with minimal time commitment. Ideal candidates will be board-certified in General Surgery with extensive patient care experience. This unique opportunity allows for independent contracting while ensuring compliance with healthcare regulations. Join a forward-thinking team where your expertise will directly impact patient care and treatment appropriateness in a supportive and flexible environment.

Benefits

Work from Anywhere

Flexible Hours

Errors and Omissions Insurance

Qualifications

• Must have 5 years of patient care experience in General Surgery.
• Must hold an unrestricted Minnesota state medical license.

Responsibilities

• Review Prior Authorizations for treatment based on medical guidelines.
• Provide expert, unbiased assessments ensuring compliance with regulations.

Skills

General Surgery

Patient Care

Medical Review

Education

MD or DO

Board Certification in General Surgery

Tools

PC

Job description

MRIoA is a national Independent Review Organization, who facilitates the review of medical claims to determine treatment appropriateness.

THE OPPORTUNITY:

Minnesota state medical license required.

• Review Prior Authorizations for treatment by applying nationally accepted medical and healthcare plan guidelines and provide expert, unbiased assessments while ensuring compliance with ERISA/DOL and state regulations.
• Flexibility – work as little as 1-2 hours per week (with no minimum requirement).Most cases take 30-60 minutes to complete.

ADDITIONAL INFORMATION:

• Work remotely from anywhere in the US (Per HIPPA Regulations patient records cannot leave the US.)
• Covered under MRIoA’s Errors and Omissions policy
• Independent Contractor (1099) opportunity

• Must be an MD or DO
• Must be Board Certified in General Surgery
• Must have 5 years of patient care experience in General Surgery
• Must have an unrestricted Minnesota state medical license
• Must be a US Citizen or hold a Green Card

California Consumer Privacy Act (CCPA) Information (California Residents Only):

• Sensitive Personal Info: MRIoA may collect sensitive personal info such as real name, nickname or alias, postal address, telephone number, email address, Social Security number, signature, online identifier, Internet Protocol address, driver’s license number, or state identification card number, and passport number.
• Data Access and Correction:Applicants can access their data and request corrections. For questions and/or requests to edit, delete, or correct data, please email the Medical Review Institute at [e-mail].

Work Environment:

Ability to sit at a desk,utilize a PC, telephone, and other basic office equipment is required. This role is designedto bea remote position (work-from-home).