Orthopedic Physician Reviewer — Flexible Contract

Dane Street; Bellevue (WA); On-site; USD 55,000 - 83,000; Part time

Benefits offered by this job

Flexible schedule

Travel expenses covered

Certification assistance

Job summary

A healthcare consulting firm is seeking a Physician Reviewer to utilize clinical expertise in reviewing insurance appeals and claims. This entry-level position allows for a flexible schedule and requires candidates to hold a WA license and be certified or willing to become certified with the Washington State Department of Labor and Industries. Responsibilities include reviewing medical records and ensuring compliance with client policies. Reasonable travel expenses will be covered.

Qualifications

• Must hold a WA license and be certified or willing to become certified.
• Ability to review medical records and address questions from clients.
• Maintain proper credentialing and state licenses.

Responsibilities

• Review all medical records and address client questions.
• Ensure clear and concise rationale for determinations.
• Provide timely copies of any criteria utilized in reviews.

Skills

Clinical expertise

Medical necessity interpretation

Attention to detail

Education

WA license

Certification with WA L&I

Job description

A healthcare consulting firm is seeking a Physician Reviewer to utilize clinical expertise in reviewing insurance appeals and claims. This entry-level position allows for a flexible schedule and requires candidates to hold a WA license and be certified or willing to become certified with the Washington State Department of Labor and Industries. Responsibilities include reviewing medical records and ensuring compliance with client policies. Reasonable travel expenses will be covered.