Otolaryngologist - Utilization Review - Remote- 1099 Contractor

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

Job summary

An established industry player is seeking a qualified medical professional to join their team as an Independent Contractor. This remote opportunity allows you to review medical claims and ensure treatment appropriateness while working flexibly from anywhere in the US. Ideal candidates will be MDs or DOs with board certification in ENT/Otolaryngology and a minimum of five years of patient care experience. Join a forward-thinking organization committed to compliance and quality assessments in healthcare, where your expertise will make a significant impact.

Benefits

Flexible working hours

Remote work opportunity

Errors and Omissions policy coverage

Qualifications

• Must have 5 years of patient care experience in ENT.
• Must have an unrestricted Minnesota or Texas state medical license.

Responsibilities

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

Skills

Medical Review

Patient Care Experience

Regulatory Compliance

Education

MD or DO

Board Certification in ENT/Otolaryngology

Job description

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

THE OPPORTUNITY:

Minnesota or Texas 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 ENT/Otolaryngology
• Must have 5 years of patient care experience in ENT
• Must have an unrestricted Minnesota or Texas 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).