Physician Reviewer Specialist
18 hours ago
We are seeking a skilled Physician Reviewer to join our team at Dane Street. As a key member of our staff, you will utilize your clinical expertise to review insurance appeals and claims, ensuring compliance with client-specific policies and nationally recognized guidelines.
Responsibilities- Review medical records and address each question posed by the client using client-specific criteria or nationally recognized evidence-based criteria.
- Ensure that rationales for determinations are clear, concise, and contain adequate supporting documentation.
- Critique current criteria and resources to support sound decision-making and provide copies of utilized criteria with reports.
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Physician Reviewer Consultant
47 minutes ago
Bellevue, Washington, United States Dane Street Full timeAbout the Role">This opportunity provides the flexibility to customize your schedule and caseload within the week while maintaining client-mandated turnaround times. As a Physician Reviewer, you will work as an independent contractor on a per-case basis.Preferred candidates will hold a WA license and be certified, or willing to become certified, with the...
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Physician Reviewer
3 weeks ago
Bellevue, Washington, United States Dane Street, LLC Full timeJob OpportunityWe are seeking a highly skilled Physician Reviewer to join our team in Bellevue, WA.About the RoleThis is a per-case basis opportunity for independent contractors. Our reviewers will utilize their clinical expertise to review insurance appeals, and prospective and retrospective claims.The successful candidate will provide an interpretation of...
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Medical Services Specialist
16 hours ago
Bellevue, Washington, United States Molina Healthcare Full timeAbout the RoleThe Medical Services Specialist - Inpatient Review position requires a strong understanding of hospital acute care and medical services. You will be responsible for assessing inpatient services for members to ensure optimum outcomes, cost effectiveness and compliance with all state and federal regulations and guidelines.
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Physician Reviewer
18 hours ago
Bellevue, Washington, United States Dane Street, LLC Full timeJob OverviewWe are seeking a highly skilled Physician Reviewer to join our team at Dane Street, LLC. As an independent contractor, you will have the opportunity to customize your schedule and caseload while maintaining client-mandated turnaround times.
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Medical Review Specialist
3 weeks ago
Bellevue, Washington, United States Dane Street, LLC Full timeJob OverviewWe are seeking a detail-oriented Medical Review Specialist to join our team at Dane Street, LLC. This role involves reviewing medical records and reports to ensure accuracy and compliance with industry standards.Key Responsibilities:Medical Record ReviewReport AnalysisQuality AssuranceRequirements:Education: Associate's or Bachelor's...
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Certified Physician Reviewer
17 hours ago
Bellevue, Washington, United States Dane Street, LLC Full timeBenefitsCompensation on a per-case basis as a 1099 independent contractorDane Street will pay for reasonable travel expensesDane Street will assist you in obtaining WA L&I certificationPlease note that video recording of approximately 15% of exams may be required. We value your security and will never conduct an interview via text or request checks from...
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Medical Record Review Specialist
6 days ago
Bellevue, Washington, United States EvergreenHealth Full timeEvergreenHealth is committed to delivering high-quality care to our patients. As a Quality Management Analyst, you will be instrumental in driving this mission forward by ensuring the accuracy and integrity of medical records and data.This is an exciting opportunity to apply your analytical skills and attention to detail in a fast-paced environment. Key...
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Rheumatology Physician Specialist
3 weeks ago
Bellevue, Washington, United States DocCafe Full timeWe are seeking a highly skilled Rheumatology Physician to join our team at DocCafe. As a leading physician and advanced practice job board, we offer unparalleled opportunities for healthcare professionals to advance their careers.The successful candidate will have the opportunity to work in Bellevue, Washington, with a competitive salary of $163, 931 -...
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Orthopedic Rehabilitation Specialist
3 weeks ago
Bellevue, Washington, United States Insight Global Full timeJob SummaryInsight Global is seeking a highly skilled Orthopedic Rehabilitation Specialist to join our team. As a key member of our outpatient orthopedic department, you will be responsible for delivering exceptional patient care while performing evaluations and developing treatment plans for a wide variety of conditions.The estimated salary for this role is...
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Payroll Tax Specialist
6 days ago
Bellevue, Washington, United States CGV Wealth Enterprises Full timeJob Summary:We are seeking a skilled Payroll Tax Specialist to join our team at CGV Wealth Enterprises. In this role, you will be responsible for managing all aspects of payroll tax, including research, setup, and completion of tax registrations, as well as review and resolution of tax notices and discrepancies.Key Responsibilities:Research and set up all...
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Accounts Specialist: Program Management Expert
3 weeks ago
Bellevue, Washington, United States Generis Tek Inc Full timeJob Summary:We are seeking a highly skilled Account Specialist to join our team at Generis Tek Inc in Bellevue, WA. As an Account Specialist, you will be responsible for managing key Healthy Paws programs and processes that support and direct our customer service teams.About the Role:This is a contract position with a project duration of 12+ months. The...
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Nurse Care Specialist
6 days ago
Bellevue, Washington, United States RZS Recruitment Full timeAbout RZS Recruitment: We are a leading healthcare staffing agency specializing in psychiatric nursing services. Our team of experienced recruiters is dedicated to connecting top talent with exciting opportunities in the field.Job Title:Nurse Care SpecialistJob Summary:We are seeking a skilled Nurse Care Specialist to join our team at one of our partner...
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Technical Compliance Specialist
3 weeks ago
Bellevue, Washington, United States Prowess Consulting Full timeProwess Consulting, a Minority/Women-owned Business Enterprise (WMBE) in Washington, is seeking a skilled Technical Compliance Specialist to join our team.As a Technical Compliance Specialist at Prowess Consulting, you will play a key role in driving compliance initiatives across engineering teams. This full-time position requires on-site work 2-3 days a...
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Medical Appeals Specialist, WA Labor
17 hours ago
Bellevue, Washington, United States Dane Street Full timeJob Overview">We are seeking a highly skilled Physician Reviewer to join our team. As a Physician Reviewer, you will utilize your clinical expertise to review insurance appeals, prospective and retrospective claims, and provide an interpretation of the medical necessity of services provided by other healthcare professionals.Main DutiesReviews all medical...
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FEMA Program Delivery Specialist
3 weeks ago
Bellevue, Washington, United States CDM Smith Full timeJob DescriptionJob Title: FEMA Program Delivery SpecialistJob Summary:The Disaster Program Delivery Specialist is responsible for collecting, coordinating, and reviewing applicant data to determine eligibility and priority of assignments. This includes audits for completeness, reviewing information gathered during the Preliminary Damage Assessment (PDA), and...
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Physician Rehabilitation Specialist
2 weeks ago
Bellevue, Washington, United States Revel Staffing Full timeAbout This RoleThis is a full-time on-site position for a Physician Therapist with Revel Staffing in Bellevue, WA.Job SummaryThe successful candidate will be responsible for treating general orthopaedic conditions, sports injuries, and patients recovering from surgery.Key ResponsibilitiesTreating patients in an outpatient settingDeveloping and implementing...
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Medical Therapy Specialist
3 weeks ago
Bellevue, Washington, United States Insight Global Full timeJob OverviewWe are seeking a skilled Medical Therapy Specialist to join our team at Insight Global.About the RoleThis is a rewarding opportunity for a Physical Therapist to deliver exceptional patient care and develop effective treatment plans for outpatient conditions.Key Responsibilities:Evaluate and treat patients with various outpatient conditions,...
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Backend Technology Specialist
5 days ago
Bellevue, Washington, United States Amazon Full timeAmazon Flex is a solution that collaborates with third-party delivery partners to complete Amazon Prime Now delivery orders. As a Backend Technology Specialist, you will work on the backend technology for packages on the move, ensuring seamless delivery experiences for customers.You will solve complex problems and work on challenging tasks in software...
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Java and React Technology Specialist
18 hours ago
Bellevue, Washington, United States Locate Software, Inc Full timeWe are seeking a highly skilled Java and React Technology Specialist to join our team at Locate Software, Inc. as a Full Stack Developer.The successful candidate will have a strong background in software development, with a minimum of 5-8 years of experience in the field.This role offers a competitive salary of $120,000 - $180,000 per year, depending on...
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Validation and Assurance Specialist
6 days ago
Bellevue, Washington, United States System One Full timeJob OverviewWe are seeking a talented Validation and Assurance Specialist to join our team at System One. In this role, you will be responsible for validating and ensuring the accuracy of software used in the design and licensing of advanced reactor systems.Your primary responsibilities will include reviewing and approving software validation plans,...