Medical Review Specialist

Job SummaryWe are seeking a highly skilled and experienced Medical Review Specialist to join our team at Concentra Career Choice. As a Medical Review Specialist, you will be responsible for reviewing medical files and providing recommendations for utilization review, chart reviews, medical necessity, appropriateness of care, and return to work, short and...

Job OverviewThis remote position allows for flexible scheduling and caseload management while adhering to client-required turnaround times. Reviewers are compensated on a per-case basis as independent contractors.Candidates must be a licensed Orthopedic Surgeon in Texas with experience in testimony, depositions, or counter affidavits. Access to a Texas...

Job SummaryThe Coding Specialist III, Outpatient is a critical role at University of Texas Southwestern Medical Center, responsible for reviewing and coding outpatient medical records. This position requires expertise in coding guidelines and a strong understanding of electronic medical records. As a subject matter expert, the Coding Specialist III will...

Job SummaryCorVel Corporation is seeking a highly skilled Clinical Review Specialist II to join our team. As a Clinical Review Specialist II, you will play a critical role in ensuring the medical necessity of in-patient admissions and out-patient treatment, while supporting the goals of our Case Management department.Key ResponsibilitiesConduct thorough...

Job SummaryWe are seeking a Board Certified Neurologist to join our medical review team as a Telehealth Medical Review Physician. This is a flexible, telecommute role that offers the ability to customize your schedule and caseload within a Monday - Friday work week and within business hours.ResponsibilitiesReviews medical files and provides recommendations...

Job Title: Medical Bill Review Analyst IICorVel Healthcare Corporation is seeking a highly skilled Medical Bill Review Analyst II to join our team. As a Medical Bill Review Analyst II, you will be responsible for reviewing, auditing, and data-entering medical bills for multiple states and lines of business.Key Responsibilities:Audit medical bills to ensure...

OverviewWe are seeking a skilled and experienced Board Certified Neurologist to join our medical review team as an independent contractor. As a Telehealth Physician Advisor, you will play a crucial role in reviewing health claims and providing medical interpretation and decisions about the appropriateness of services provided by other healthcare...

Job SummaryCorVel Healthcare Corporation is seeking a highly skilled Medical Bill Review Analyst II to join our team. As a Medical Bill Review Analyst II, you will be responsible for reviewing, auditing, and data-entering medical bills for multiple states and lines of business.Key ResponsibilitiesMedical Bill Review: Conduct thorough reviews of medical bills...

Job SummaryWe are seeking a highly skilled Medical Bill Review Analyst II to join our team at CorVel. As a Medical Bill Review Analyst II, you will be responsible for reviewing, auditing, and data-entering medical bills for multiple states and lines of business. This is a remote position, and the ideal candidate must reside in the DFW area.Key...

Job SummaryCorVel Corporation is seeking a skilled Medical Bill Review Analyst II to join our team. As a key member of our risk management team, you will be responsible for reviewing, auditing, and data-entering medical bills for multiple states and lines of business.Key ResponsibilitiesAudit medical bills to ensure they are accurate and adhere to state fee...

Job SummaryUT Southwestern Medical Center is seeking a skilled Registered Nurse to join our team as a Utilization Review Specialist. In this role, you will conduct medical certification reviews for medical necessity for acute care facilities and services, using nationally recognized, evidence-based guidelines approved by medical staff to recommend level of...

Job SummaryWe are seeking a highly skilled Registered Nurse to join our team as a Utilization Review Specialist. In this role, you will be responsible for conducting medical certification reviews to determine the medical necessity of acute care services.Key ResponsibilitiesConduct inpatient admission reviews for Medicare and Medicaid beneficiaries, as well...

Job SummaryCleaver-Brooks Sales and Service, Inc. is seeking a highly skilled Contract Review Specialist to join our team. As a key member of our organization, you will be responsible for reviewing and analyzing various contracts and purchase orders to identify potential risks and ensure compliance with company policies.Key ResponsibilitiesContract Review...

Job OverviewThis remote position allows for flexibility in scheduling and managing your caseload while adhering to client-required turnaround times. Reviewers are compensated on a per-case basis as independent contractors.Candidates must be a licensed Orthopedic Surgeon in Texas with experience in testimony, depositions, or counter affidavits. Access to a...

Job Summary:Kemper is seeking a highly skilled Auto Damage Review Specialist to join our team. As a key member of our claims department, you will be responsible for reviewing incoming auto damage demands from other carriers or entities to determine if amounts claimed are reasonable and consistent with industry standards.Key Responsibilities:Examine...

Job Summary:Kemper is seeking a skilled Auto Damage Review Specialist to join our team. As a key member of our claims team, you will be responsible for reviewing incoming auto damage demands from other carriers or entities to determine if amounts claimed are reasonable and consistent with industry standards.Key Responsibilities:Examine third-party vehicle...

Position Overview: Desk Review Specialist at KemperKemper, a prominent specialized insurance provider, is seeking skilled professionals to contribute positively to our clients' experiences. We pride ourselves on fostering a high-performance environment that promotes both personal and professional development while ensuring a balanced work-life approach.Key...

Job SummaryUT Southwestern Medical Center is seeking a highly skilled Medical Billing Specialist to join our team. As a key member of our Clinical Lab Services division, you will play a critical role in ensuring the accuracy and efficiency of our billing processes.ResponsibilitiesPerform manual charge entry for non-Epic Care and non-automated sites of...

Job SummaryUT Southwestern Medical Center is seeking a skilled Utilization Review Nurse to join our team. As a Utilization Review Nurse, you will play a critical role in ensuring that patients receive the most appropriate level of care while minimizing unnecessary hospital stays.Key ResponsibilitiesConduct medical certification reviews for medical necessity...

Job SummaryThompson Law Injury Lawyers is seeking a highly organized and detail-oriented Medical Records Specialist to join our team. As a Medical Records Specialist, you will be responsible for managing medical records in personal injury cases, performing detailed reviews of records, and accurately documenting all relevant information. This is a dynamic and...