Remote Spine Surgeon — Flexible Per-Case Contract

Concentra; United States; Remote; USD 1,000 - 5,000; Part time

Benefits offered by this job

Flexible schedule

Telecommute

1099 independent contractor

Job summary

Concentra is seeking an experienced Board Certified Spine Surgeon or Board Certified Neurosurgeon for our medical reviewstream division. This telecommute role offers a Monday–Friday schedule during business hours and compensation on a per-case basis as a 1099 independent contractor, with NJ licensure required.

You will review health claims, provide medical interpretation and decisions about the appropriateness of services in compliance with Concentra guidelines and state regulations.

Qualifications

• Board-certified MD/DO with knowledge of managed care and credentialing.
• Current, unrestricted clinical license; restricted licenses must have a compliant process.
• Board certification by ABMS or ABO is required for MD/DO reviewer.

Responsibilities

• Reviews medical files and provides recommendations on utilization and medical necessity.
• Meets with Medical Director to discuss quality, credentialing, and licensure issues.
• Maintain credentialing and state licenses and any required certifications.
• Returns cases in a timely manner with clear rationales and documented criteria.
• Contacts providers telephonically and discusses review criteria and appeal process.
• Attends orientation and training.
• Identifies quality assurance issues, regulatory concerns, or audits.
• Uses current guidelines and peer literature to support decisions.
• Provides copies of criteria used in reviews to requesting providers.

Skills

Computer skills

Telephonic skills

Review services

Negotiation

Practice standards

Education

MD/DO board-certified

Unrestricted medical license

Job description

Concentra is seeking an experienced Board Certified Spine Surgeon or Board Certified Neurosurgeon for our medical reviewstream division. This telecommute role offers a Monday–Friday schedule during business hours and compensation on a per-case basis as a 1099 independent contractor, with NJ licensure required.

You will review health claims, provide medical interpretation and decisions about the appropriateness of services in compliance with Concentra guidelines and state regulations.