Remote Physician Reviewer – Prior Authorizations & Reviews

Arkansas Foundation for Medical Care; Arkansas; On-site; USD 83,000 - 138,000; Full time

Job summary

Arkansas Foundation for Medical Care is seeking physicians to perform Medicaid prior authorizations and retrospective reviews from a home setup. Compensation is paid per review completed, with emphasis on accuracy and timeliness.

Specialists needed include Hospitalist, ENT, Pulmonologist, Nephrologist, Oncologist, OB/Gyn and Oral Surgeon. Credentialing requires Arkansas license, board certification, at least 5 years of direct patient care, current liability insurance, and US residency.

Qualifications

• Active, unrestricted license to practice medicine in Arkansas.
• Board-certified.
• Minimum of five years full-time equivalent direct patient care experience.
• Direct patient care experience within the previous three years.
• Maintain current liability and malpractice insurance coverage for non-UR clinical activities.
• Located in the United States when conducting appeal considerations.

Responsibilities

• Perform Medicaid prior authorizations and retrospective reviews.
• Complete reviews remotely using home computer equipment.
• Utilize AFMC ReviewPoint clinical platform for case management.
• Adhere to required internet speeds and data security standards.
• Handle assigned initial and reconsideration reviews as delegated.
• Additional duties as agreed with AFMC.

Skills

Active unrestricted license

Board-certified

5+ years direct patient care

US-based practice

Maintain malpractice insurance

Education

Medical license - Arkansas

Job description

Arkansas Foundation for Medical Care is seeking physicians to perform Medicaid prior authorizations and retrospective reviews from a home setup. Compensation is paid per review completed, with emphasis on accuracy and timeliness.

Specialists needed include Hospitalist, ENT, Pulmonologist, Nephrologist, Oncologist, OB/Gyn and Oral Surgeon. Credentialing requires Arkansas license, board certification, at least 5 years of direct patient care, current liability insurance, and US residency.